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Maryland rates for HCPCS 21408

Open Tx Fx Orbit Except Blowout W/Bone Graft

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$800.83 / $897.78 / $1,014.72
CareFirst
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,051.94 / $1,068.36 / $1,356.83
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$641.21 / $641.21 / $715.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$809.66 / $1,204.96 / $2,062.35
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$947.07 / $1,221.77 / $1,595.07
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
$711.74 / $1,019.34 / $1,740.77
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$818.19 / $1,089.18 / $1,340.91