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Maryland rates for HCPCS 25491

Proph Tx N/P/Pltwr W/Wo Methylmethacrylate Ulna

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$666.75 / $762.79 / $832.92
CareFirst
Facility/Professional
Professional
Modifier
Low / Median / High Price
$790.00 / $806.40 / $887.04
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$507.00 / $518.54 / $7,937.54
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$714.03 / $1,045.58 / $1,677.08
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$788.20 / $1,017.11 / $1,499.04
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
$615.54 / $934.52 / $1,536.60
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$767.67 / $906.73 / $1,113.18