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Maryland rates for HCPCS 14021

Adjt/Rearrgmt Scalp/Arm/Leg 10.1-30.0 Sq Cm

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.99 / $2,580.76 / $8,184.89
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$631.54 / $844.99 / $2,025.19
CareFirst
Facility/Professional
Professional
Modifier
Low / Median / High Price
$763.66 / $788.06 / $906.27
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$674.68 / $888.24 / $1,504.82
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$904.56 / $1,111.50 / $1,787.21
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$450.00 / $450.00 / $450.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$670.94 / $855.91 / $1,622.90
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$694.32 / $784.70 / $1,045.83