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Maryland rates for HCPCS 0480T

Fractional ablative laser fenestration of burn and traumatic scars for functional improvement; each additional 100 cm2, or each additional 1% of body surface area of infants and children, or part thereof (List separately in addition to code for primary procedure)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$980.81 / $980.81 / $980.81
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$93.25 / $99.71 / $249.91
CareFirst
Facility/Professional
Professional
Modifier
Low / Median / High Price
$380.00 / $380.00 / $429.40
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$93.23 / $107.95 / $196.28
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$150.00 / $150.00 / $150.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$60.59 / $80.16 / $153.94