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Maryland rates for HCPCS 25415

Rpr Nonunion/Malunion Radius&Ulna W/O Autograf

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,491.04 / $5,491.04 / $5,491.04
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$876.42 / $1,012.37 / $2,848.84
CareFirst
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,020.00 / $1,052.95 / $1,158.25
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$507.00 / $518.54 / $4,201.17
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$933.59 / $1,344.42 / $2,217.92
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,022.71 / $1,322.35 / $1,853.91
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,003.00 / $1,003.00 / $2,156.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$808.82 / $1,248.39 / $2,214.53
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,001.79 / $1,178.83 / $1,447.68