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Maryland rates for HCPCS 14001

Adjacent tissue transfer or rearrangement, trunk; defect 10.1 sq cm to 30.0 sq cm

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.99 / $988.66 / $2,952.03
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$568.95 / $690.04 / $1,752.02
CareFirst
Facility/Professional
Professional
Modifier
Low / Median / High Price
$685.73 / $715.52 / $822.85
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$625.49 / $804.74 / $1,355.36
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$844.24 / $1,010.49 / $1,647.68
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$450.00 / $450.00 / $450.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$626.66 / $821.76 / $1,699.08
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$640.28 / $724.58 / $980.49