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Maryland rates for HCPCS Q4161

bio-ConneKt wound matrix, per sq cm (add-on, list separately in addition to primary procedure)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,653.82 / $1,653.82 / $1,653.82
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,590.54 / $1,590.54 / $1,670.07
CareFirst
Facility/Professional
Professional
Modifier
Low / Median / High Price
$127.13 / $127.13 / $127.13
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,590.54 / $1,590.54 / $1,590.54
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,590.54 / $1,590.54 / $2,025.69
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,351.96 / $1,590.54 / $2,590.69
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,590.54 / $1,590.54 / $1,862.93
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,590.54 / $1,590.54 / $2,083.61