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Maryland rates for HCPCS 12042

Repair Intermediate N/H/F/Xtrnl Gent 2.6-7.5 Cm

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$39.21 / $241.55 / $817.61
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$147.00 / $266.67 / $517.88
CareFirst
Facility/Professional
Professional
Modifier
Low / Median / High Price
$171.99 / $182.67 / $210.07
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$189.14 / $295.25 / $492.79
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$304.97 / $364.20 / $611.03
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$150.00 / $150.00 / $150.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$226.11 / $287.70 / $528.20
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$215.43 / $230.25 / $368.14