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Maryland rates for HCPCS 25393

Osteoplasty, radius AND ulna; lengthening with autograft

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,018.12 / $1,174.01 / $1,261.58
CareFirst
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,228.83 / $1,228.83 / $1,375.00
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$627.00 / $641.21 / $4,241.49
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,084.50 / $1,577.72 / $2,579.67
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,187.38 / $1,538.17 / $2,015.72
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
$940.64 / $1,337.46 / $2,430.35
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,161.08 / $1,371.24 / $1,683.52