go back

Maryland rates for HCPCS 21049

Exc B9 Tum/Cst Maxl Xtr-Oral Osteot&Prtl Maxlc

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,094.72 / $1,179.53 / $1,298.70
CareFirst
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,179.95 / $1,309.07 / $1,439.98
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,085.55 / $1,604.60 / $3,008.96
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,191.11 / $1,537.27 / $2,447.16
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$972.02 / $1,300.92 / $2,561.85
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,183.44 / $1,370.43 / $1,704.76