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Maryland rates for HCPCS Q4108

Integra Matrix Per Square Centimeter

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$49.12 / $49.12 / $49.12
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$38.54 / $38.54 / $42.02
CareFirst
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.70 / $30.70 / $30.70
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$38.54 / $38.54 / $63.57
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$38.54 / $38.54 / $49.09
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.76 / $38.54 / $87.60
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$38.54 / $38.54 / $40.65
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$44.84 / $44.84 / $50.49