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Maryland rates for HCPCS 25442

Arthroplasty with prosthetic replacement; distal ulna

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$691.83 / $831.76 / $2,041.74
CareFirst
Facility/Professional
Professional
Modifier
Low / Median / High Price
$812.83 / $912.01 / $1,148.15
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$512.86 / $512.86 / $724.44
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$741.31 / $1,000.00 / $1,819.70
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$776.25 / $870.96 / $1,445.44
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$776.25 / $2,187.76 / $4,073.80
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$630.96 / $912.01 / $1,659.59
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$758.58 / $933.25 / $1,202.26