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Maryland rates for HCPCS 20697

App Mltpln Uni Xtrnl Fix Strtctc Adjmt Exchange

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,570.16 / $2,013.97 / $3,698.09
CareFirst
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,212.27 / $2,594.55 / $3,295.08
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$641.21 / $791.44 / $990.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,484.64 / $2,426.91 / $4,650.75
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,770.20 / $2,283.56 / $3,914.26
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$123.00 / $123.00 / $158.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,245.09 / $2,037.98 / $4,112.14
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,702.50 / $2,035.73 / $2,502.21