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Maryland rates for HCPCS 15576

Formation of direct or tubed pedicle, with or without transfer; eyelids, nose, ears, lips, or intraoral

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$578.48 / $692.41 / $1,724.49
CareFirst
Facility/Professional
Professional
Modifier
Low / Median / High Price
$736.30 / $736.30 / $846.74
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$615.04 / $798.33 / $1,365.55
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$813.14 / $1,013.25 / $1,804.85
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$450.00 / $450.00 / $450.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$628.70 / $832.60 / $1,497.43
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$641.91 / $715.06 / $938.03