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Maryland rates for HCPCS 21076

Impression&Preparation Surg Obturator Prosthes

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$686.20 / $852.40 / $2,261.25
CareFirst
Facility/Professional
Professional
Modifier
Low / Median / High Price
$774.75 / $803.89 / $1,130.53
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$365.85 / $507.00 / $641.21
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$713.80 / $1,137.66 / $2,165.44
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$917.01 / $1,182.94 / $1,553.71
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$215.00 / $215.00 / $471.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$711.01 / $975.26 / $1,690.81
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$738.13 / $1,054.56 / $1,312.26