go back

Maryland rates for HCPCS 01130

Anesthesia Body Cast Application Or Revision

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$245.96 / $245.96 / $328.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.00 / $41.00 / $476.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$150.00 / $216.00 / $282.63
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$180.00 / $260.00 / $332.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$46.00 / $60.00 / $92.30
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$68.92 / $68.92 / $100.00