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Vermont rates for HCPCS 25924

Disarticulation Thru Wrist Re-Amputation

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$768.96 / $768.96 / $849.90
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$779.52 / $1,164.53 / $1,563.75
MVP Health Care
Facility/Professional
Professional
Modifier
Low / Median / High Price
$722.38 / $1,036.89 / $1,563.75
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$849.61 / $982.17 / $2,855.24