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Maryland rates for HCPCS 25375

Mlt Osteotomies W/Relignmt Imed Rod Radius&Ulna

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$853.78 / $994.32 / $1,074.59
CareFirst
Facility/Professional
Professional
Modifier
Low / Median / High Price
$797.96 / $797.96 / $1,175.00
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$627.00 / $641.21 / $1,490.90
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$905.27 / $1,329.50 / $2,185.80
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,009.11 / $1,304.77 / $1,873.35
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
$793.71 / $1,183.66 / $2,213.98
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$970.21 / $1,163.17 / $1,428.06