go back

Maryland rates for HCPCS 22319

Optx&/Rdctj Odntd Fx&/Dislc Ant W/Int Fixj

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,643.17 / $1,924.94 / $2,046.77
CareFirst
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,981.00 / $2,108.84 / $2,319.71
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$507.00 / $507.00 / $641.21
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,654.13 / $2,366.54 / $4,213.30
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,944.33 / $2,565.31 / $3,274.66
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
$1,418.11 / $2,071.52 / $3,984.06
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,660.16 / $2,286.90 / $2,741.81