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Maryland rates for HCPCS 20696

App Mltpln Uni Xtrnl Fix Strtctc Adjmt 1st&Subsq

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.98 / $0.98 / $0.98
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$641.21 / $1,335.00 / $14,024.63
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,215.77 / $1,571.28 / $2,449.73
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$643.00 / $643.00 / $1,185.00