go back

Maryland rates for HCPCS 25400

Rpr Nonunion/Malunion Radius/Ulna W/O Autograft

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,486.12 / $5,072.74 / $17,280.32
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$507.00 / $518.54 / $4,455.41
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$851.57 / $1,098.53 / $1,618.22
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$847.00 / $847.00 / $1,560.00