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Maryland rates for HCPCS 25442

Arthroplasty W/Prosthetic Rplcmt Distal Ulna

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$719.19 / $823.55 / $908.09
CareFirst
Facility/Professional
Professional
Modifier
Low / Median / High Price
$862.99 / $862.99 / $1,060.00
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$507.00 / $728.96 / $13,949.87
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$755.06 / $1,075.48 / $1,857.17
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$861.61 / $1,111.48 / $1,453.36
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,169.00 / $2,169.00 / $4,028.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$634.92 / $912.76 / $1,730.84
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$765.44 / $990.85 / $1,218.98