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Maryland rates for HCPCS 25607

Optx Dstl Radl X-Artic Fx/Epiphysl Sep

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,072.90 / $5,151.04 / $6,902.42
Aetna
Facility/Professional
Facility
Modifier
50
Low / Median / High Price
$7,656.88 / $7,656.88 / $7,656.88
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$641.21 / $715.00 / $4,493.43
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$793.65 / $1,023.81 / $1,513.08
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,003.00 / $1,003.00 / $2,156.00