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Maryland rates for HCPCS 28446

Open Osteochondral Autograft Talus

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$12,598.93 / $12,598.93 / $12,598.93
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,042.75 / $1,250.49 / $1,936.90
CareFirst
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,454.05 / $1,597.72 / $1,757.49
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$641.21 / $1,335.00 / $4,201.17
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,094.95 / $1,557.59 / $2,794.54
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,289.40 / $1,668.95 / $2,517.14
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,003.00 / $1,003.00 / $2,156.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$951.02 / $1,454.39 / $2,674.85
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,110.02 / $1,487.82 / $1,826.77