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Maryland rates for HCPCS 25575

Open treatment of radial AND ulnar shaft fractures, with internal fixation, when performed; of radius AND ulna

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,019.95 / $3,019.95 / $5,248.07
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$512.86 / $512.86 / $4,466.84
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$891.25 / $1,000.00 / $1,621.81
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$851.14 / $1,000.00 / $3,548.13