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Maryland rates for HCPCS 20957

Bone Graft Microvascular Anast Metatarsal

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,432.98 / $2,724.77 / $4,233.30
CareFirst
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,865.00 / $3,146.61 / $3,461.27
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$507.00 / $507.00 / $641.21
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,376.69 / $3,434.87 / $6,176.05
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,853.75 / $3,710.07 / $4,806.32
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,003.00 / $1,003.00 / $2,156.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,054.19 / $3,098.02 / $6,021.88
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,418.15 / $3,307.42 / $4,060.74