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Maryland rates for HCPCS 25695

Open treatment of lunate dislocation

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$537.03 / $645.65 / $1,584.89
CareFirst
Facility/Professional
Professional
Modifier
Low / Median / High Price
$630.96 / $707.95 / $912.01
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$446.68 / $457.09 / $3,311.31
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$588.84 / $794.33 / $1,445.44
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$630.96 / $707.95 / $1,148.15
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$478.63 / $602.56 / $1,621.81
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$512.86 / $724.44 / $1,288.25
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$602.56 / $758.58 / $977.24