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Connecticut rates for HCPCS 25931

Transmetacarpal Amputation Re-Amputation

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,091.13 / $5,194.00 / $10,492.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$687.54 / $851.80 / $1,910.47
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8,873.00 / $9,678.00 / $12,904.00
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$717.00 / $1,403.57 / $1,857.00
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$843.00 / $4,326.79 / $4,326.79
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$997.19 / $1,326.06 / $2,039.83
ConnectiCare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,296.00 / $4,588.00 / $4,682.00
ConnectiCare
Facility/Professional
Professional
Modifier
Low / Median / High Price
$692.04 / $1,002.34 / $1,255.30
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,565.00 / $6,647.00 / $9,973.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$690.42 / $1,391.03 / $2,362.58