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Maryland rates for HCPCS 15136

Dermal Agrft F/S/N/H/F/G/M/D Gt Ea 100 Cm/Ea

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$89.08 / $89.37 / $96.61
CareFirst
Facility/Professional
Professional
Modifier
Low / Median / High Price
$85.91 / $85.91 / $98.80
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$79.77 / $102.22 / $168.49
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$99.80 / $129.97 / $232.79
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$150.00 / $150.00 / $150.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$73.76 / $98.02 / $186.49
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$68.54 / $96.95 / $115.86