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Maryland rates for HCPCS 0420T

Dstrj Neurofibromas Xtnsv Trnk Extremities >100

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$371.00 / $455.30 / $455.30
CareFirst
Facility/Professional
Professional
Modifier
Low / Median / High Price
$472.96 / $472.96 / $600.66
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$586.05 / $678.59 / $884.13
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$128.00 / $150.00 / $150.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$318.64 / $415.85 / $795.70