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Maryland rates for HCPCS 24920

Amputation, arm through humerus; open, circular (guillotine)

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$645.65 / $758.58 / $1,995.26
CareFirst
Facility/Professional
Professional
Modifier
Low / Median / High Price
$645.65 / $870.96 / $1,071.52
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$512.86 / $512.86 / $645.65
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$660.69 / $912.01 / $1,659.59
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$724.44 / $794.33 / $1,318.26
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$691.83 / $1,000.00 / $3,548.13
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$588.84 / $831.76 / $1,513.56
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$660.69 / $851.14 / $1,096.48