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Maryland rates for HCPCS 25426

Repair of defect with autograft; radius AND ulna

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$995.76 / $1,161.83 / $1,267.48
CareFirst
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,139.13 / $1,221.18 / $1,300.86
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$627.00 / $641.21 / $1,966.99
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,068.69 / $1,533.19 / $2,565.19
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,180.54 / $1,529.15 / $2,115.80
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
$878.87 / $1,330.12 / $2,472.94
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,078.70 / $1,363.20 / $1,673.75