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Maryland rates for HCPCS A4470

Gravlee Jet Washer (Special Coverage Instructions Apply. See Cim: 50-4 And Mcm: 2320)

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.44 / $3.46 / $4.63
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.57 / $3.57 / $3.57
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.53 / $6.01 / $10.31
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.65 / $3.18 / $5.71
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.42 / $3.42 / $3.42