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Maryland rates for HCPCS 11971

Removal Tissue Expander W/O Insertion Implant

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$555.19 / $2,113.46 / $3,862.59
Aetna
Facility/Professional
Facility
Modifier
50
Low / Median / High Price
$2,434.64 / $2,434.64 / $2,434.64
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$578.96 / $672.03 / $1,236.83
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$950.00 / $950.00 / $950.00