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Maryland rates for HCPCS 42225

Palatop Cl Palate Attachment Pharyngeal Flap

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$896.24 / $1,124.53 / $3,013.74
CareFirst
Facility/Professional
Professional
Modifier
Low / Median / High Price
$993.24 / $1,103.59 / $1,820.94
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
$821.14 / $1,163.01 / $2,179.98
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$977.55 / $1,217.98 / $1,771.60
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
$815.34 / $1,104.49 / $1,996.37
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$729.65 / $1,191.77 / $1,466.32