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Maryland rates for HCPCS 25924

Disarticulation through wrist; re-amputation

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$623.84 / $723.36 / $1,317.98
CareFirst
Facility/Professional
Professional
Modifier
Low / Median / High Price
$693.91 / $863.49 / $949.84
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$507.00 / $507.00 / $641.21
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$626.03 / $901.99 / $1,654.48
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$757.08 / $976.63 / $1,281.07
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,003.00 / $2,156.00 / $3,522.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$542.16 / $757.64 / $1,346.40
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$635.51 / $870.64 / $1,069.19