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Maryland rates for HCPCS 42200

Palatop Cl Palate Soft&/Hard Palate Only

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,054.70 / $1,125.69 / $11,565.30
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$797.84 / $1,066.06 / $2,659.62
CareFirst
Facility/Professional
Professional
Modifier
Low / Median / High Price
$942.90 / $1,013.78 / $1,419.29
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$818.00 / $3,018.07 / $3,914.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$799.12 / $1,105.88 / $1,988.35
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$916.69 / $1,165.70 / $1,639.42
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,236.00 / $1,679.00 / $3,590.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$777.18 / $1,051.48 / $1,909.06
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$685.05 / $1,117.13 / $1,375.04