go back

Maryland rates for HCPCS 12031

Repair Intermediate S/A/T/E 2.5 Cm/<

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.00 / $73.08 / $387.43
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$135.00 / $231.53 / $462.47
CareFirst
Facility/Professional
Professional
Modifier
Low / Median / High Price
$126.04 / $140.05 / $164.87
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$145.11 / $241.58 / $396.61
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$236.09 / $307.68 / $510.20
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$150.00 / $150.00 / $150.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$186.92 / $249.49 / $476.30
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$167.29 / $189.45 / $311.33