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Maryland rates for HCPCS 25085

Capsulotomy Wrist

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$404.82 / $471.35 / $1,175.80
CareFirst
Facility/Professional
Professional
Modifier
Low / Median / High Price
$467.34 / $496.13 / $545.74
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$507.00 / $518.54 / $1,490.90
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$436.18 / $623.19 / $1,034.90
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$482.30 / $622.16 / $878.84
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$520.00 / $520.00 / $733.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$355.86 / $536.91 / $962.95
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$438.29 / $554.65 / $682.43