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Maryland rates for HCPCS 21245

Rcnstj Mndbl/Maxl Subpriosteal Implant Partial

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$852.56 / $1,005.07 / $1,300.34
CareFirst
Facility/Professional
Professional
Modifier
Low / Median / High Price
$924.16 / $961.36 / $1,098.83
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$990.00 / $1,012.17 / $3,986.93
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$904.50 / $1,328.32 / $2,582.19
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,257.85 / $1,622.64 / $2,158.31
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
$935.99 / $1,397.47 / $2,605.56
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$858.79 / $1,446.54 / $1,793.45