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Maryland rates for HCPCS 21159

Rcnstj Midface Lefort Iii W/Fhd W/O Lefort I

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,335.77 / $2,659.19 / $2,939.86
CareFirst
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,804.89 / $2,804.89 / $3,550.00
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$507.00 / $507.00 / $641.21
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,412.69 / $3,486.85 / $5,770.46
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,660.70 / $3,443.72 / $4,474.37
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
$2,182.94 / $3,179.26 / $6,086.78
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,669.55 / $3,069.98 / $3,801.00