go back

Maryland rates for HCPCS 25251

Removal of wrist prosthesis; complicated, including total wrist

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$641.96 / $739.42 / $807.79
CareFirst
Facility/Professional
Professional
Modifier
Low / Median / High Price
$739.76 / $784.86 / $863.35
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$330.00 / $339.05 / $1,490.90
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$667.61 / $967.82 / $1,652.87
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$767.14 / $989.61 / $1,292.29
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$588.00 / $643.00 / $1,185.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$557.84 / $815.31 / $1,517.51
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$674.45 / $882.21 / $1,083.35