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Maryland rates for HCPCS 15822

Blepharoplasty, upper eyelid;

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
50
Low / Median / High Price
$1,103.08 / $1,103.08 / $1,316.57
Aetna
Facility/Professional
Professional
Modifier
50
Low / Median / High Price
$3,570.00 / $3,570.00 / $3,570.00
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$474.83 / $587.89 / $921.21
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$450.00 / $450.00 / $450.00