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Maryland rates for HCPCS 21025

Excision of bone (eg, for osteomyelitis or bone abscess); mandible

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$64.57 / $64.57 / $64.57
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$630.96 / $831.76 / $2,187.76
CareFirst
Facility/Professional
Professional
Modifier
Low / Median / High Price
$660.69 / $741.31 / $933.25
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$446.68 / $457.09 / $2,754.23
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$660.69 / $1,000.00 / $1,819.70
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$891.25 / $1,023.29 / $1,513.56
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$660.69 / $851.14 / $1,548.82
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$616.60 / $912.01 / $1,584.89
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$831.76 / $1,023.29 / $1,258.93