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Maryland rates for HCPCS 15150

Cltr Skin Autograft T/A/L 1st 25 Cm/<

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$646.33 / $649.51 / $723.72
CareFirst
Facility/Professional
Professional
Modifier
Low / Median / High Price
$643.11 / $673.24 / $774.23
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$587.16 / $752.12 / $1,217.14
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$728.86 / $956.63 / $1,685.56
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$450.00 / $450.00 / $450.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$538.57 / $732.35 / $1,273.65
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$546.96 / $703.99 / $852.81