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Maryland rates for HCPCS 23155

Excision or curettage of bone cyst or benign tumor of proximal humerus; with autograft (includes obtaining graft)

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$707.17 / $818.49 / $887.11
CareFirst
Facility/Professional
Professional
Modifier
Low / Median / High Price
$818.41 / $865.75 / $952.33
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$715.00 / $728.96 / $3,314.62
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$738.02 / $1,072.08 / $1,831.77
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$849.89 / $1,096.35 / $1,431.55
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$643.00 / $643.00 / $1,185.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$616.94 / $890.86 / $1,711.44
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$750.65 / $977.37 / $1,200.00