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Maryland rates for HCPCS C1789

Prothesis, breast (implantable)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$834.96 / $6,297.48 / $8,918.54
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$402.32 / $402.32 / $402.32
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,054.93 / $1,054.93 / $1,054.93
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$40.01 / $40.01 / $40.01