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Maryland rates for HCPCS Q4170

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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$41.55 / $41.55 / $41.55
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$39.31 / $39.31 / $43.24
CareFirst
Facility/Professional
Professional
Modifier
Low / Median / High Price
$44.67 / $44.67 / $44.67
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$39.31 / $39.31 / $39.31
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$39.31 / $39.31 / $50.07
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$33.40 / $39.31 / $736.10
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$39.31 / $39.31 / $41.47
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$46.16 / $46.16 / $51.50