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Maryland rates for HCPCS 57295

Revj/Rmvl Prosthetic Vaginal Graft Vaginal App

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$46.89 / $607.58 / $6,762.80
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,765.51 / $1,765.51 / $1,765.51
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$522.29 / $673.75 / $1,119.29