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Maryland rates for HCPCS 22112

Prtl Exc Vrt Bdy B1y Les W/O Spi Cord 1 Sgm Thrc

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$999.50 / $1,164.06 / $1,244.69
CareFirst
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,232.39 / $1,232.39 / $1,378.98
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$507.00 / $507.00 / $641.21
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,001.67 / $1,374.13 / $2,609.81
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,220.84 / $1,597.82 / $2,056.17
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
$829.58 / $1,177.55 / $2,272.17
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$940.44 / $1,424.41 / $1,712.55