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Indiana rates for HCPCS 25931

Transmetacarpal amputation; re-amputation

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$749.40 / $1,386.00 / $4,846.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$661.88 / $752.60 / $1,011.69
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,411.35 / $7,572.00 / $18,942.00
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$591.96 / $838.60 / $1,157.26
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$731.69 / $1,004.28 / $1,506.42
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$717.34 / $896.68 / $1,291.22
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,116.34 / $2,116.34 / $2,508.71
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$742.84 / $974.92 / $1,554.22
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,364.00 / $6,032.00 / $10,413.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$598.73 / $815.48 / $1,418.01