go back

Massachusetts rates for HCPCS 25931

Transmetacarpal Amputation Re-Amputation

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$699.56 / $2,747.00 / $5,454.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$698.40 / $790.98 / $1,269.98
AllWays Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$913.04 / $2,854.00 / $6,509.88
AllWays Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$808.76 / $1,414.75 / $5,738.72
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$819.63 / $1,317.46 / $2,279.13
Fallon Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$803.32 / $1,757.34 / $6,679.00
Fallon Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$921.81 / $1,120.30 / $1,546.46
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$989.18 / $1,960.95 / $2,586.80
Mass General Brigham
Facility/Professional
Facility
Modifier
Low / Median / High Price
$55.00 / $2,957.44 / $9,039.00
Mass General Brigham
Facility/Professional
Professional
Modifier
Low / Median / High Price
$847.61 / $1,428.58 / $5,738.72
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,902.00 / $3,764.00 / $8,766.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$814.95 / $1,230.14 / $2,410.08