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Maryland rates for HCPCS 21249

Rcnstj Mandible/Maxl Endosteal Implant Complete

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,080.05 / $1,286.50 / $1,571.10
CareFirst
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,226.06 / $1,350.25 / $1,512.28
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,114.68 / $1,713.80 / $3,376.98
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,386.27 / $1,788.29 / $2,357.71
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,135.09 / $1,631.12 / $2,963.98
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,153.69 / $1,594.21 / $1,983.18