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Maryland rates for HCPCS 21138

Rdctj Fhd Cntrg & Prosthetic Matrl/Bone Graft

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$814.77 / $914.86 / $1,032.69
CareFirst
Facility/Professional
Professional
Modifier
Low / Median / High Price
$925.61 / $985.70 / $1,084.27
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$507.00 / $641.21 / $2,754.30
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$840.64 / $1,216.81 / $2,085.78
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$961.47 / $1,240.30 / $1,619.70
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
$712.09 / $1,035.07 / $1,768.39
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$851.99 / $1,105.69 / $1,361.04