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Maryland rates for HCPCS 25931

Transmetacarpal Amputation Re-Amputation

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$687.54 / $833.14 / $2,167.31
CareFirst
Facility/Professional
Professional
Modifier
Low / Median / High Price
$732.68 / $908.77 / $1,154.14
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$507.00 / $641.21 / $1,490.90
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$698.10 / $993.22 / $1,847.28
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$839.27 / $1,082.66 / $1,431.63
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$520.00 / $520.00 / $733.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$603.25 / $852.64 / $1,498.09
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$674.15 / $965.16 / $1,185.53