go back

Maryland rates for HCPCS 27105

Transfer paraspinal muscle to hip (includes fascial or tendon extension graft)

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$775.45 / $894.93 / $973.10
CareFirst
Facility/Professional
Professional
Modifier
Low / Median / High Price
$890.77 / $944.37 / $1,038.81
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
$795.31 / $1,167.29 / $1,996.41
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$923.69 / $1,192.24 / $1,555.68
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$847.00 / $847.00 / $1,560.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$676.28 / $957.54 / $1,669.62
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$806.80 / $1,062.84 / $1,305.33