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Maryland rates for HCPCS 21146

Rcnstj Midface Lefort I 2 Pieces W/Bone Grafts

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,483.69 / $1,616.70 / $2,902.81
CareFirst
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,889.48 / $2,054.66 / $2,609.42
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$507.00 / $507.00 / $641.21
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,434.33 / $2,074.66 / $3,692.65
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,667.25 / $2,150.75 / $2,821.90
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
$1,320.21 / $1,729.85 / $3,277.21
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,451.35 / $1,917.34 / $2,386.17