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Missouri rates for HCPCS 25931

Transmetacarpal amputation; re-amputation

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$927.93 / $4,470.00 / $12,154.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$680.90 / $812.61 / $1,272.83
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,088.00 / $4,247.00 / $9,663.00
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$694.56 / $888.62 / $1,303.85
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$700.92 / $1,001.85 / $1,706.14
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$607.70 / $1,113.28 / $3,500.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$734.60 / $1,057.77 / $5,927.92
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,438.00 / $2,833.00 / $5,813.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$718.47 / $943.91 / $1,573.67