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Maryland rates for HCPCS Q4113

Graftjacket Xpress

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$762.88 / $762.88 / $762.88
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$735.95 / $762.88 / $762.88
CareFirst
Facility/Professional
Professional
Modifier
Low / Median / High Price
$403.61 / $403.61 / $403.61
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$762.88 / $762.88 / $762.88
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$762.88 / $762.88 / $762.88
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,605.53 / $1,797.75 / $1,997.50
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,997.50 / $1,997.50 / $2,107.36
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$919.55 / $919.55 / $919.55