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Maryland rates for HCPCS 11971

Removal of tissue expander without insertion of implant

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$549.54 / $2,187.76 / $4,365.16
Aetna
Facility/Professional
Facility
Modifier
50
Low / Median / High Price
$2,454.71 / $2,454.71 / $2,454.71
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$489.78 / $602.56 / $1,000.00
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$954.99 / $954.99 / $1,621.81