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Maryland rates for HCPCS 21151

Rcnstj Midface Lefort Ii W/Bone Grafts

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,685.55 / $1,866.47 / $4,788.08
CareFirst
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,117.64 / $2,173.09 / $2,390.40
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$507.00 / $507.00 / $641.21
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,714.28 / $2,497.83 / $4,460.07
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,861.47 / $2,407.62 / $3,135.10
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
$1,528.41 / $2,015.71 / $3,910.48
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,771.84 / $2,146.33 / $2,657.00