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Maryland rates for HCPCS 26121

Fasct Palm W/Wo Z-Plasty Tissue Reargmt/Skn Grft

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,201.42 / $4,724.87 / $7,495.03
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$515.08 / $625.49 / $2,284.00
CareFirst
Facility/Professional
Professional
Modifier
Low / Median / High Price
$657.73 / $657.73 / $1,100.00
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$627.00 / $641.21 / $1,490.90
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$557.30 / $810.02 / $1,379.65
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$642.19 / $828.43 / $1,265.30
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
$464.15 / $668.44 / $1,172.53
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$563.76 / $738.52 / $908.42