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Maryland rates for HCPCS 20150

Excision of epiphyseal bar, with or without autogenous soft tissue graft obtained through same fascial incision

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$888.72 / $999.07 / $1,135.92
CareFirst
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,016.94 / $1,073.00 / $1,169.60
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$507.00 / $641.21 / $1,490.90
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$876.81 / $1,246.03 / $2,287.23
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,055.24 / $1,367.05 / $1,777.25
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$847.00 / $847.00 / $1,560.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$769.01 / $1,133.77 / $2,066.98
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$873.00 / $1,218.69 / $1,496.36