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Maryland rates for HCPCS 21315

Closed treatment of nasal bone fracture with manipulation; without stabilization

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,885.04 / $2,885.04 / $3,052.87
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$59.65 / $152.16 / $295.08
CareFirst
Facility/Professional
Professional
Modifier
Low / Median / High Price
$63.17 / $63.17 / $170.29
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$445.00 / $453.73 / $620.64
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$62.26 / $195.89 / $446.47
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$160.84 / $207.48 / $504.68
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$215.00 / $215.00 / $471.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$211.13 / $296.30 / $517.78
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$160.84 / $184.97 / $227.72