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Maryland rates for HCPCS 20101

Exploration Penetrating Wound Spx Chest

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$205.37 / $505.99 / $1,021.80
CareFirst
Facility/Professional
Professional
Modifier
Low / Median / High Price
$176.06 / $221.55 / $243.71
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$507.00 / $507.00 / $641.21
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$204.82 / $429.84 / $1,060.20
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$571.87 / $747.68 / $1,082.42
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$215.00 / $215.00 / $471.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$339.78 / $538.83 / $1,059.33
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$369.21 / $666.54 / $816.96