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Maryland rates for HCPCS 25526

Open treatment of radial shaft fracture, includes internal fixation, when performed, and open treatment of distal radioulnar joint dislocation (Galeazzi fracture/ dislocation), includes internal fixation, when performed, includes repair of triangular fibrocartilage complex

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,433.57 / $7,285.16 / $7,457.31
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$846.89 / $1,003.96 / $2,476.92
CareFirst
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,042.20 / $1,042.20 / $1,320.00
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$715.00 / $728.96 / $4,514.89
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$920.06 / $1,291.43 / $2,191.76
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,016.35 / $1,311.43 / $1,711.74
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,003.00 / $1,003.00 / $2,156.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$763.20 / $1,058.56 / $1,837.07
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$946.53 / $1,169.09 / $1,435.75