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Maryland rates for HCPCS 12017

Simple Repair F/E/E/N/L/M 20.1cm-30.0 Cm

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$150.80 / $150.80 / $153.22
CareFirst
Facility/Professional
Professional
Modifier
Low / Median / High Price
$133.18 / $133.18 / $169.14
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$138.44 / $182.30 / $311.19
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$157.32 / $183.36 / $333.40
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$150.00 / $150.00 / $150.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$134.21 / $198.86 / $331.43
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$153.38 / $162.96 / $183.36