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Maryland rates for HCPCS 21031

Excision Torus Mandibularis

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$255.49 / $341.83 / $409.69
CareFirst
Facility/Professional
Professional
Modifier
Low / Median / High Price
$253.99 / $325.18 / $344.69
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$274.70 / $437.97 / $869.26
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$396.65 / $511.68 / $684.74
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$303.44 / $451.52 / $802.33
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$354.65 / $456.15 / $564.57