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Maryland rates for HCPCS 67115

Release Encircling Material Posterior Segment

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$427.59 / $594.52 / $633.88
CareFirst
Facility/Professional
Professional
Modifier
Low / Median / High Price
$514.84 / $533.10 / $559.75
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$424.00 / $449.41 / $2,078.94
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$388.63 / $535.61 / $878.94
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$509.31 / $585.71 / $763.97
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
$362.08 / $467.46 / $985.92
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$393.97 / $534.49 / $585.71