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Maryland rates for HCPCS 21345

Closed Tx Nasomaxillary Complex Fracture

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$596.78 / $703.62 / $852.27
CareFirst
Facility/Professional
Professional
Modifier
Low / Median / High Price
$674.52 / $693.23 / $762.55
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$620.64 / $990.00 / $1,012.17
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$616.73 / $919.29 / $1,786.65
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$839.00 / $1,082.31 / $1,432.34
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$215.00 / $215.00 / $471.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$615.26 / $914.43 / $1,587.72
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$616.15 / $964.85 / $1,191.95