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Maryland rates for HCPCS 28576

Prq Skel Fixj Talotarsal Jt Dislc W/Manj

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$346.19 / $401.20 / $439.84
CareFirst
Facility/Professional
Professional
Modifier
Low / Median / High Price
$434.59 / $452.00 / $478.05
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$507.00 / $518.54 / $3,314.62
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$351.07 / $522.75 / $886.52
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$422.06 / $544.46 / $885.94
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$520.00 / $733.00 / $1,628.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$291.80 / $414.54 / $808.55
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$336.93 / $485.37 / $596.10