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Maryland rates for HCPCS 21155

Rcnstj Midface Lefort Iii W/Lefort I

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,931.23 / $2,222.15 / $2,452.34
CareFirst
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,506.37 / $2,506.37 / $2,875.00
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$507.00 / $507.00 / $641.21
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,037.49 / $2,887.88 / $4,817.72
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,221.09 / $2,875.04 / $3,740.26
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
$1,795.82 / $2,406.67 / $4,591.95
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,228.71 / $2,563.02 / $3,172.98