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Maryland rates for HCPCS 25490

Proph Tx N/P/Pltwr W/Wo Methylacrylate Radius

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$641.46 / $751.16 / $808.43
CareFirst
Facility/Professional
Professional
Modifier
Low / Median / High Price
$717.73 / $717.73 / $965.00
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$507.00 / $518.54 / $3,314.62
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$674.79 / $1,005.00 / $1,631.74
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$766.81 / $989.18 / $1,434.33
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
$587.85 / $864.79 / $1,500.71
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$725.85 / $881.83 / $1,082.93