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Maryland rates for HCPCS 21089

Unlisted maxillofacial prosthetic procedure

Insurance Carrier
CareFirst
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,369.00 / $1,369.00 / $1,369.00
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$507.00 / $507.00 / $641.21
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$36.00 / $36.00 / $41.00