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Maryland rates for HCPCS 15050

Pinch Graft 1/Mlt Sm Ulcer Tip/Oth Ar Up To 2 Cm

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$464.24 / $525.94 / $619.38
CareFirst
Facility/Professional
Professional
Modifier
Low / Median / High Price
$442.29 / $491.44 / $565.16
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$426.35 / $570.70 / $990.31
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$557.46 / $751.79 / $1,386.28
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$128.00 / $150.00 / $150.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$434.94 / $590.41 / $1,185.74
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$446.99 / $512.79 / $704.57