go back

Maryland rates for HCPCS 21047

Exc B9 Tum/Cst Mndbl Xtr-Oral Osteot&Prtl Mndb

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,191.79 / $1,453.73 / $4,514.03
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,141.32 / $1,246.63 / $1,474.38
CareFirst
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,237.99 / $1,431.48 / $1,574.63
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$445.00 / $453.73 / $2,754.30
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,143.35 / $1,705.69 / $3,166.26
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,255.66 / $1,619.80 / $2,644.38
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
$1,013.79 / $1,398.14 / $2,420.19
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,236.57 / $1,444.01 / $1,796.16