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Maryland rates for HCPCS 25622

Closed Tx Carpal Scaphoid Fracture W/O Manj

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$249.25 / $311.54 / $732.33
CareFirst
Facility/Professional
Professional
Modifier
Low / Median / High Price
$212.30 / $325.97 / $358.57
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$50.00 / $50.00 / $121.72
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$269.20 / $391.66 / $721.13
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$340.10 / $438.73 / $583.80
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$36.00 / $36.00 / $41.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$235.08 / $321.87 / $596.75
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$265.22 / $391.12 / $480.96