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Maryland rates for HCPCS 65286

Rpr Lac Appl Tissue Glue Wound Cornea&/Sclera

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$428.91 / $626.71 / $1,105.58
CareFirst
Facility/Professional
Professional
Modifier
Low / Median / High Price
$491.63 / $570.91 / $599.95
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$314.00 / $335.55 / $429.29
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$430.07 / $629.34 / $1,186.11
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$671.22 / $806.96 / $1,059.83
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$445.00 / $445.00 / $445.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$529.94 / $670.80 / $1,237.57
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$528.61 / $556.36 / $812.53