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Maryland rates for HCPCS 25250

Removal of wrist prosthesis; (separate procedure)

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$474.27 / $539.54 / $883.18
CareFirst
Facility/Professional
Professional
Modifier
Low / Median / High Price
$554.46 / $579.71 / $637.67
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$330.00 / $339.05 / $791.44
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$488.99 / $716.31 / $1,233.65
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$573.73 / $740.11 / $970.11
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$215.00 / $215.00 / $471.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$407.75 / $578.55 / $1,124.78
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$495.75 / $659.79 / $810.15