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Maryland rates for HCPCS 21050

Condylectomy, temporomandibular joint (separate procedure)

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$741.31 / $891.25 / $2,344.23
CareFirst
Facility/Professional
Professional
Modifier
Low / Median / High Price
$851.14 / $954.99 / $1,202.26
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$512.86 / $512.86 / $2,754.23
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$794.33 / $1,096.48 / $1,995.26
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$831.76 / $933.25 / $1,548.82
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$776.25 / $851.14 / $2,884.03
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$707.95 / $977.24 / $1,778.28
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$812.83 / $1,000.00 / $1,288.25