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Maryland rates for HCPCS 21179

Rcnstj Forehead &/ Supraorb Rims W/Algrf/Prostc

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,368.43 / $1,573.64 / $4,037.68
CareFirst
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,652.40 / $1,652.40 / $1,860.00
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$507.00 / $507.00 / $641.21
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,372.04 / $2,019.30 / $3,466.37
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,581.69 / $2,046.70 / $2,663.90
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$774.00 / $847.00 / $1,560.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,196.36 / $1,569.42 / $3,184.67
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,389.07 / $1,824.58 / $2,246.19