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Maryland rates for HCPCS 22862

Revj W/Rplcmt Tot Disc Arthrp Ant 1 Ntrspc Lmbr

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,972.52 / $2,370.25 / $2,436.92
CareFirst
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,685.39 / $2,685.39 / $3,410.45
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$507.00 / $507.00 / $641.21
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,959.98 / $2,663.93 / $5,320.34
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,449.92 / $3,237.24 / $4,126.18
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,169.00 / $2,169.00 / $4,028.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,550.03 / $2,330.84 / $4,464.07
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,916.66 / $2,885.91 / $3,458.31