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Maryland rates for HCPCS 21139

Rdctj Fhd Cntrg & Setback Ant Frontal Sinus Wall

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$965.97 / $1,093.47 / $1,980.59
CareFirst
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,102.24 / $1,209.00 / $1,311.32
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
$948.83 / $1,369.18 / $2,498.27
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,140.70 / $1,471.50 / $1,923.12
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$847.00 / $1,560.00 / $2,882.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$842.88 / $1,175.46 / $2,236.01
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$918.75 / $1,311.81 / $1,614.65