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Maryland rates for HCPCS 25685

Open treatment of trans-scaphoperilunar type of fracture dislocation

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$653.60 / $744.63 / $826.82
CareFirst
Facility/Professional
Professional
Modifier
Low / Median / High Price
$765.00 / $802.00 / $882.20
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$507.00 / $518.54 / $3,314.62
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$682.48 / $988.71 / $1,688.80
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$784.07 / $1,011.67 / $1,320.54
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$520.00 / $520.00 / $733.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$579.87 / $780.03 / $1,414.75
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$693.52 / $901.88 / $1,107.32