go back

Maryland rates for HCPCS 11772

Excision Pilonidal Cyst/Sinus Complicated

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$706.77 / $3,111.75 / $5,258.28
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$796.05 / $918.93 / $1,455.76
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$950.00 / $950.00 / $950.00