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Maryland rates for HCPCS 21230

Graft; rib cartilage, autogenous, to face, chin, nose or ear (includes obtaining graft)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,819.70 / $1,819.70 / $1,862.09
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,000.00 / $1,023.29 / $2,754.23
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$691.83 / $758.58 / $1,318.26
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$707.95 / $851.14 / $2,884.03