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Maryland rates for HCPCS 24930

Amputation, arm through humerus; re-amputation

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$660.69 / $794.33 / $2,089.30
CareFirst
Facility/Professional
Professional
Modifier
Low / Median / High Price
$741.31 / $912.01 / $1,148.15
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$512.86 / $512.86 / $645.65
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$691.83 / $954.99 / $1,737.80
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$758.58 / $851.14 / $1,380.38
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$741.31 / $1,000.00 / $3,548.13
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$616.60 / $870.96 / $1,584.89
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$707.95 / $912.01 / $1,174.90