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Maryland rates for HCPCS 15574

Formation of direct or tubed pedicle, with or without transfer; forehead, cheeks, chin, mouth, neck, axillae, genitalia, hands or feet

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,467.37 / $6,309.57 / $8,709.64
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$616.60 / $794.33 / $2,344.23
CareFirst
Facility/Professional
Professional
Modifier
Low / Median / High Price
$676.08 / $758.58 / $891.25
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$660.69 / $870.96 / $1,548.82
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$831.76 / $1,023.29 / $1,905.46
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$446.68 / $446.68 / $707.95
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$660.69 / $891.25 / $1,584.89
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$707.95 / $933.25 / $1,412.54