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Indiana rates for HCPCS 25931

Transmetacarpal amputation; re-amputation

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,258.93 / $3,467.37 / $4,897.79
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$660.69 / $812.83 / $1,380.38
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6,456.54 / $14,454.40 / $19,498.45
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$676.08 / $831.76 / $1,380.38
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$724.44 / $794.33 / $891.25
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$794.33 / $1,258.93 / $1,698.24
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$707.95 / $912.01 / $1,479.11
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,691.53 / $6,025.60 / $10,715.19
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$616.60 / $794.33 / $1,348.96