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Maryland rates for HCPCS 25690

Closed Tx Lunate Dislocation W/Manipulation

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$435.15 / $499.23 / $541.79
CareFirst
Facility/Professional
Professional
Modifier
Low / Median / High Price
$470.00 / $512.11 / $575.80
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$330.00 / $339.05 / $791.44
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$443.21 / $631.20 / $1,123.90
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$532.83 / $687.35 / $904.94
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$215.00 / $215.00 / $471.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$379.41 / $541.50 / $1,013.55
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$432.94 / $612.75 / $752.67