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Maryland rates for HCPCS 29058

Application, cast; plaster Velpeau

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$85.88 / $107.69 / $137.18
CareFirst
Facility/Professional
Professional
Modifier
Low / Median / High Price
$65.80 / $82.09 / $90.30
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$50.00 / $50.00 / $69.63
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$91.98 / $139.44 / $275.10
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$134.16 / $173.07 / $228.64
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$36.00 / $36.00 / $41.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$88.92 / $130.61 / $250.64
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$102.51 / $154.28 / $189.47