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Maryland rates for HCPCS 25931

Transmetacarpal amputation; re-amputation

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$660.69 / $812.83 / $2,041.74
CareFirst
Facility/Professional
Professional
Modifier
Low / Median / High Price
$489.78 / $912.01 / $1,148.15
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$512.86 / $512.86 / $645.65
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$691.83 / $954.99 / $1,862.09
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$831.76 / $933.25 / $1,479.11
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$478.63 / $616.60 / $1,621.81
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$616.60 / $870.96 / $1,548.82
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$676.08 / $977.24 / $1,288.25