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Maryland rates for HCPCS 25365

Osteotomy Radius & Ulna

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$15,654.35 / $15,654.35 / $15,654.35
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$818.33 / $956.30 / $1,025.56
CareFirst
Facility/Professional
Professional
Modifier
Low / Median / High Price
$936.64 / $996.50 / $1,096.15
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$507.00 / $518.54 / $6,262.53
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$883.39 / $1,273.21 / $2,102.44
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$971.21 / $1,255.04 / $1,717.05
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$847.00 / $847.00 / $1,560.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$754.40 / $1,084.04 / $1,958.88
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$935.36 / $1,118.83 / $1,373.76