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Maryland rates for HCPCS 25900

Amputation Forearm Through Radius & Ulna

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$898.27 / $898.27 / $1,034.03
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$635.44 / $746.95 / $991.69
CareFirst
Facility/Professional
Professional
Modifier
Low / Median / High Price
$805.41 / $855.15 / $940.67
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$507.00 / $507.00 / $641.21
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$684.30 / $988.41 / $1,645.26
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$767.76 / $990.41 / $1,296.89
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
$592.45 / $849.97 / $1,528.33
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$711.86 / $882.92 / $1,085.11