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Maryland rates for HCPCS 23552

Optx Acromclav Dislc Acute/Chronic W/Fascial Grf

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,899.00 / $4,899.00 / $4,899.00
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$627.00 / $641.21 / $4,372.18
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$687.52 / $886.90 / $1,160.29
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,003.00 / $1,003.00 / $2,156.00