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Maryland rates for HCPCS 15271

App Skn Sub Grft T/A/L Area/100sq Cm /<1st 25

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$98.79 / $683.79 / $1,756.74
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$74.45 / $126.56 / $218.61
CareFirst
Facility/Professional
Professional
Modifier
Low / Median / High Price
$92.17 / $92.17 / $117.06
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$78.69 / $138.79 / $225.76
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$144.72 / $195.47 / $357.08
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$450.00 / $450.00 / $450.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$125.65 / $157.80 / $283.66
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$90.45 / $123.76 / $182.63