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Maryland rates for HCPCS 21208

Osteoplasty, facial bones; augmentation (autograft, allograft, or prosthetic implant)

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$707.95 / $1,548.82 / $3,981.07
CareFirst
Facility/Professional
Professional
Modifier
Low / Median / High Price
$724.44 / $812.83 / $1,023.29
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$758.58 / $1,548.82 / $3,162.28
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,659.59 / $1,995.26 / $3,162.28
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$691.83 / $1,412.54 / $2,951.21
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$776.25 / $2,089.30 / $2,691.53