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Maryland rates for HCPCS 24900

Amputation, arm through humerus; with primary closure

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$653.53 / $754.08 / $828.40
CareFirst
Facility/Professional
Professional
Modifier
Low / Median / High Price
$775.00 / $880.23 / $968.25
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$507.00 / $507.00 / $641.21
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$677.03 / $979.73 / $1,693.90
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$813.93 / $1,049.97 / $1,372.30
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,003.00 / $2,156.00 / $3,522.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$563.25 / $799.21 / $1,586.16
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$674.00 / $936.02 / $1,149.15