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Maryland rates for HCPCS 57415

Removal Impacted Vag Fb Spx W/Anes Oth/Thn Local

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$186.90 / $203.70 / $2,625.42
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
$182.78 / $243.10 / $392.61