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Maryland rates for HCPCS 15935

Exc Sacral Pr Ulcer W/Skn Flap Clsr W/Ostectomy

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,093.50 / $1,180.05 / $1,180.05
CareFirst
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,069.74 / $1,188.59 / $1,366.89
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,000.58 / $1,205.50 / $2,019.56
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,213.82 / $1,407.88 / $2,559.78
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
$851.39 / $1,165.02 / $2,339.75
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$884.52 / $1,279.89 / $1,395.89