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Maryland rates for HCPCS 25830

Arthrd Dstl Rad/Uln Jt Sgmtl Rscj Ulna W/Wo Bone

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$900.34 / $1,020.34 / $1,093.63
CareFirst
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,053.17 / $1,053.17 / $1,185.11
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$715.00 / $728.96 / $3,314.62
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$918.01 / $1,307.84 / $2,412.90
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,083.13 / $1,397.24 / $1,844.13
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$847.00 / $847.00 / $1,560.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$738.67 / $1,044.89 / $1,956.63
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$894.25 / $1,245.59 / $1,529.79