go back

Maryland rates for HCPCS 25915

Krukenberg Procedure

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,034.52 / $1,211.43 / $1,320.94
CareFirst
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,111.79 / $1,377.71 / $1,530.00
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$507.00 / $507.00 / $641.21
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,056.66 / $1,581.69 / $2,633.00
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,223.92 / $1,587.51 / $2,297.64
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
$938.36 / $1,381.86 / $2,514.34
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,113.16 / $1,415.22 / $1,737.69