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Maryland rates for HCPCS 41250

Repair of laceration 2.5 cm or less; floor of mouth and/or anterior two-thirds of tongue

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$184.04 / $306.27 / $546.61
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$259.45 / $525.00 / $2,213.00
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$243.65 / $344.38 / $508.69
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$71.00 / $100.00 / $598.00