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Maryland rates for HCPCS 15101

Split Agrft T/A/L Ea 100 Cm/Ea 1% Bdy Inft/Chld

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,583.12 / $1,583.12 / $1,839.28
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$174.27 / $234.83 / $447.04
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$150.00 / $150.00 / $150.00