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Maryland rates for HCPCS 21172

Rcnstj Superior-Lateral Orbital Rim & Lower Fhd

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,807.79 / $2,166.31 / $3,891.16
CareFirst
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,014.64 / $2,014.64 / $2,411.17
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$507.00 / $507.00 / $641.21
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,796.98 / $2,446.14 / $4,867.35
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,231.55 / $2,938.13 / $3,758.40
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$774.00 / $1,560.00 / $11,831.32
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,499.67 / $2,201.52 / $4,046.29
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,682.30 / $2,619.26 / $3,142.53