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Maryland rates for HCPCS 25500

Closed treatment of radial shaft fracture; without manipulation

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$682.68 / $682.68 / $682.68
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$222.84 / $281.70 / $681.73
CareFirst
Facility/Professional
Professional
Modifier
Low / Median / High Price
$229.67 / $292.63 / $325.20
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$50.00 / $50.00 / $121.72
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$239.51 / $354.54 / $667.34
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$315.12 / $406.50 / $540.75
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$36.00 / $36.00 / $41.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$212.72 / $270.38 / $536.53
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$233.79 / $362.39 / $445.58