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Maryland rates for HCPCS 24160

Prosthesis Removal Humeral And Ulnar Components

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,872.79 / $2,872.79 / $2,872.79
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,060.99 / $1,296.15 / $1,424.29
CareFirst
Facility/Professional
Professional
Modifier
Low / Median / High Price
$610.00 / $1,134.49 / $1,412.70
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$445.00 / $453.73 / $1,490.90
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$682.43 / $1,376.18 / $2,815.60
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,309.75 / $1,709.39 / $2,221.10
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$643.00 / $643.00 / $1,185.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$526.63 / $1,194.20 / $2,409.60
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,017.37 / $1,523.88 / $1,871.07