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Maryland rates for HCPCS 29804

Arthroscopy Temporomandibular Joint Surgical

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,309.64 / $4,309.64 / $4,309.64
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$507.00 / $518.54 / $1,490.90
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$618.98 / $798.48 / $1,051.32
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$643.00 / $643.00 / $1,185.00