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Maryland rates for HCPCS 24931

Amputation, arm through humerus; with implant

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$707.95 / $933.25 / $2,344.23
CareFirst
Facility/Professional
Professional
Modifier
Low / Median / High Price
$977.24 / $1,096.48 / $1,348.96
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$512.86 / $512.86 / $645.65
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$758.58 / $1,071.52 / $2,089.30
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$912.01 / $1,000.00 / $1,659.59
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$891.25 / $1,000.00 / $3,548.13
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$676.08 / $1,000.00 / $1,862.09
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$741.31 / $1,071.52 / $1,380.38