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Maryland rates for HCPCS 28715

Arthrodesis Triple

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8,700.04 / $11,224.92 / $11,918.99
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$627.00 / $641.21 / $9,155.98
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$992.49 / $1,280.31 / $1,673.30
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,003.00 / $1,003.00 / $2,156.00