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Maryland rates for HCPCS A6412

Eye Patch Occlusive Each

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.19 / $0.28 / $0.36
CareFirst
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.00 / $5.00 / $5.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.27 / $0.27 / $0.27
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.35 / $0.46 / $0.79
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.22 / $0.25 / $0.42
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.26 / $0.26 / $1.86