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Maryland rates for HCPCS 66250

Revj/Rpr Oprative Wound Anterior Segment

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,819.07 / $2,819.07 / $4,735.60
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$492.00 / $728.04 / $1,683.16
CareFirst
Facility/Professional
Professional
Modifier
Low / Median / High Price
$566.33 / $592.95 / $622.60
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$424.00 / $449.41 / $1,018.46
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$496.99 / $684.54 / $1,298.08
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$723.41 / $869.52 / $1,142.22
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,009.00 / $1,009.00 / $1,009.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$568.71 / $718.59 / $1,325.77
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$438.54 / $797.06 / $875.70