go back

Maryland rates for HCPCS 25145

Sequestrectomy (eg, for osteomyelitis or bone abscess), forearm and/or wrist

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$471.99 / $554.53 / $1,631.55
CareFirst
Facility/Professional
Professional
Modifier
Low / Median / High Price
$566.32 / $566.32 / $731.65
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$445.00 / $453.73 / $1,490.90
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$509.21 / $743.00 / $1,203.95
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$560.61 / $723.19 / $1,142.22
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$643.00 / $643.00 / $1,185.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$438.48 / $677.10 / $1,190.20
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$541.87 / $644.70 / $791.55