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Maryland rates for HCPCS 21141

Rcnstj Midface Lefort I 1 Piece W/O Bone Graft

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,174.93 / $5,174.93 / $5,174.93
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,191.90 / $1,379.58 / $3,494.94
CareFirst
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,457.53 / $1,619.48 / $1,716.65
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$507.00 / $507.00 / $641.21
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,246.77 / $1,780.58 / $3,043.55
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,375.03 / $1,773.79 / $2,332.14
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
$1,076.02 / $1,576.91 / $3,095.59
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,264.40 / $1,581.28 / $1,966.85