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Maryland rates for HCPCS D4355

Full M Debrid Enbl Comp Or Eval & Dx Subq Visit

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$45.28 / $50.58 / $73.98
CareFirst
Facility/Professional
Professional
Modifier
Low / Median / High Price
$102.60 / $107.00 / $171.20
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$73.31 / $73.31 / $73.31
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$52.42 / $67.83 / $104.87
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$65.00 / $65.00 / $65.00
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$79.00 / $79.00 / $79.00