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Maryland rates for HCPCS Q4128

FlexHD, or AllopatchHD, per sq cm (add-on, list separately in addition to primary procedure)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$30.70 / $17,847.75 / $35,727.19
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$29.91 / $29.91 / $31.41
CareFirst
Facility/Professional
Professional
Modifier
Low / Median / High Price
$31.21 / $31.21 / $31.21
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$29.91 / $29.91 / $29.91
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$29.91 / $29.91 / $38.10
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$25.42 / $29.91 / $42.74
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$29.91 / $29.91 / $31.41
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.59 / $30.59 / $39.18