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Maryland rates for HCPCS L8613

Ossicula Implant (Special Coverage Instructions Apply. See Mcm: 2130)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$59.25 / $165.80 / $1,087.70
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$151.22 / $180.18 / $293.77
CareFirst
Facility/Professional
Professional
Modifier
Low / Median / High Price
$205.13 / $205.13 / $251.18
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$274.27 / $274.27 / $274.27
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$233.13 / $233.13 / $274.27
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$257.20 / $367.44 / $529.11
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$157.66 / $192.48 / $290.69
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$186.75 / $186.75 / $257.20