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Maryland rates for HCPCS 25450

Epiphyseal arrest by epiphysiodesis or stapling; distal radius OR ulna

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$484.24 / $622.36 / $1,013.98
CareFirst
Facility/Professional
Professional
Modifier
Low / Median / High Price
$639.17 / $673.08 / $717.00
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$507.00 / $518.54 / $1,490.90
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$554.80 / $823.75 / $1,405.27
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$662.17 / $854.20 / $1,148.90
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$589.72 / $774.00 / $1,560.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$479.15 / $691.55 / $1,348.49
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$568.54 / $761.50 / $935.07