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Maryland rates for HCPCS 15004

Prep Site F/S/N/H/F/G/M/D Gt 1st 100 Sq Cm/1pct

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.98 / $474.43 / $5,060.43
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$232.12 / $363.25 / $790.72
CareFirst
Facility/Professional
Professional
Modifier
Low / Median / High Price
$258.43 / $287.14 / $330.21
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$244.16 / $376.32 / $661.23
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$402.68 / $500.08 / $920.44
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$150.00 / $150.00 / $150.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$308.45 / $400.82 / $754.08
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$280.64 / $318.27 / $466.70