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Maryland rates for HCPCS Q4114

Integra flowable wound matrix, injectable, 1 cc

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,542.24 / $1,542.24 / $1,542.24
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,494.41 / $1,494.41 / $1,569.13
CareFirst
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,445.86 / $1,445.86 / $1,445.86
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,494.41 / $1,494.41 / $2,406.17
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,494.41 / $1,494.41 / $1,903.26
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,270.25 / $1,494.41 / $2,547.46
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,494.41 / $1,494.41 / $1,576.60
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,600.61 / $1,600.61 / $1,957.68