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Maryland rates for HCPCS 15770

Graft Derma-Fat-Fascia

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$673.05 / $812.06 / $4,727.49
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$558.41 / $686.14 / $1,660.45
CareFirst
Facility/Professional
Professional
Modifier
Low / Median / High Price
$738.86 / $738.86 / $938.35
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$574.69 / $741.99 / $1,161.31
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$707.60 / $869.95 / $1,502.05
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,028.00 / $1,028.00 / $1,028.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$522.87 / $658.81 / $1,184.38
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$535.33 / $748.61 / $813.74