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Maryland rates for HCPCS 15050

Pinch graft, single or multiple, to cover small ulcer, tip of digit, or other minimal open area (except on face), up to defect size 2 cm diameter

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$354.81 / $501.19 / $1,148.15
CareFirst
Facility/Professional
Professional
Modifier
Low / Median / High Price
$436.52 / $489.78 / $562.34
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$416.87 / $575.44 / $1,000.00
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$549.54 / $724.44 / $1,230.27
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$128.82 / $151.36 / $151.36
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$380.19 / $549.54 / $1,000.00
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$446.68 / $645.65 / $1,000.00