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Maryland rates for HCPCS 40702

Plstc Rpr Cl Lip/Nsl Dfrm Prim Bi 1 2 Stgs

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,133.19 / $1,177.39 / $2,175.81
CareFirst
Facility/Professional
Professional
Modifier
Low / Median / High Price
$975.78 / $1,084.20 / $1,246.83
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$866.25 / $1,060.51 / $1,805.59
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,049.47 / $1,215.17 / $2,209.40
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,236.00 / $1,236.00 / $1,236.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$726.20 / $975.30 / $1,905.98
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$723.39 / $1,104.70 / $1,207.56