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Maryland rates for HCPCS L3255

Non-Standard Size Or Length (Special Coverage Instructions Apply. See Mcm: 2323)

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$19.57 / $19.57 / $23.50
CareFirst
Facility/Professional
Professional
Modifier
Low / Median / High Price
$24.24 / $24.24 / $24.24
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$23.72 / $23.72 / $23.72
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$17.32 / $17.32 / $23.72
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$26.00 / $29.00 / $29.00
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$189.00 / $189.00 / $300.00