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Maryland rates for HCPCS 21145

Rcnstj Midface Lefort I 1 Piece W/Bone Grafts

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,328.43 / $1,567.67 / $3,911.00
CareFirst
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,793.16 / $1,793.16 / $2,277.31
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$507.00 / $507.00 / $641.21
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,404.54 / $1,953.00 / $3,537.42
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,596.07 / $2,058.92 / $2,700.83
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
$1,183.31 / $1,645.90 / $2,963.19
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,459.33 / $1,835.48 / $2,284.53