go back

Idaho rates for HCPCS 25931

Transmetacarpal Amputation Re-Amputation

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,500.00 / $4,500.00 / $5,519.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$828.39 / $1,059.45 / $1,648.04
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,895.78 / $1,895.78 / $1,901.11
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$835.48 / $1,176.13 / $1,396.66
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$742.12 / $1,357.89 / $1,895.25
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,288.93 / $1,406.11 / $1,876.42
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.34 / $1,099.74 / $1,241.64
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,301.55 / $7,849.65 / $9,927.16
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,330.88 / $1,616.26 / $1,876.42
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,350.00 / $5,550.00 / $12,233.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$726.48 / $1,089.72 / $1,548.40