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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
$630.96 / $758.58 / $2,041.74
CareFirst
Facility/Professional
Professional
Modifier
Low / Median / High Price
$741.31 / $831.76 / $1,047.13
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$512.86 / $512.86 / $3,311.31
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$676.08 / $933.25 / $1,659.59
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$724.44 / $812.83 / $1,318.26
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$478.63 / $616.60 / $1,621.81
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$602.56 / $831.76 / $1,513.56
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$691.83 / $870.96 / $1,122.02