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Maryland rates for HCPCS 12054

Repair Intermediate F/E/E/N/L&/Muc 7.6-12.5 Cm

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$218.53 / $365.95 / $585.66
CareFirst
Facility/Professional
Professional
Modifier
Low / Median / High Price
$196.52 / $196.52 / $249.58
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$210.58 / $345.88 / $578.70
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$342.65 / $448.19 / $759.72
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$150.00 / $150.00 / $150.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$276.95 / $372.90 / $737.15
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$239.95 / $286.60 / $453.97