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Maryland rates for HCPCS A4652

Microcapillary tube sealant

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.12 / $0.12 / $0.19
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$64.00 / $64.00 / $64.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.88 / $4.88 / $39.60
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8.00 / $8.00 / $10.00
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.00 / $30.00 / $30.00