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Maryland rates for HCPCS 21275

Secondary revision of orbitocraniofacial reconstruction

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$759.85 / $876.59 / $2,248.65
CareFirst
Facility/Professional
Professional
Modifier
Low / Median / High Price
$880.00 / $947.04 / $1,008.84
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$990.00 / $1,012.17 / $3,500.24
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$749.31 / $1,126.26 / $1,932.00
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$885.19 / $1,141.90 / $1,492.00
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
$658.14 / $902.98 / $1,724.04
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$756.96 / $1,017.97 / $1,253.26