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Maryland rates for HCPCS 12047

Repair Intermediate N/H/F/Xtrnl Gent >30.0 Cm

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$356.53 / $557.15 / $955.50
CareFirst
Facility/Professional
Professional
Modifier
Low / Median / High Price
$294.41 / $294.41 / $338.57
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$341.03 / $532.92 / $903.85
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$558.79 / $647.04 / $1,107.68
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$450.00 / $450.00 / $450.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$379.44 / $545.90 / $1,163.23
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$389.20 / $437.22 / $661.00