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Maryland rates for HCPCS 25805

Arthrodesis Wrist W/Sliding Graft

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$765.04 / $884.29 / $4,432.75
CareFirst
Facility/Professional
Professional
Modifier
Low / Median / High Price
$920.34 / $920.34 / $1,130.00
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$715.00 / $728.96 / $4,706.78
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$815.16 / $1,142.72 / $1,945.02
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$900.47 / $1,162.36 / $1,516.58
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,003.00 / $1,003.00 / $2,156.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$660.80 / $947.49 / $1,629.24
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$820.25 / $1,036.22 / $1,272.47