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Maryland rates for HCPCS 21630

Radical Resection Sternum

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,108.84 / $1,303.98 / $1,383.99
CareFirst
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,350.00 / $1,439.43 / $1,583.37
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$507.00 / $507.00 / $641.21
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,181.10 / $1,690.90 / $2,993.75
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,374.96 / $1,776.69 / $2,315.73
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,003.00 / $1,003.00 / $2,156.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$987.30 / $1,370.45 / $2,320.44
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,196.80 / $1,583.87 / $1,949.97