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Maryland rates for HCPCS Q4100

Skin Substitute, Nos

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$234.70 / $7,794.53 / $22,210.39
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9.74 / $34.65 / $147.40
CareFirst
Facility/Professional
Professional
Modifier
Low / Median / High Price
$612.00 / $612.00 / $612.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$125.40 / $125.40 / $125.40