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Maryland rates for HCPCS Q4173

Palingen Or Palingen Xplus Per Square Centimeter

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$356.55 / $356.55 / $356.55
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$349.02 / $349.02 / $383.92
CareFirst
Facility/Professional
Professional
Modifier
Low / Median / High Price
$255.00 / $255.00 / $255.00
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$349.01 / $349.01 / $349.01
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$349.01 / $349.01 / $444.50
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$296.67 / $349.02 / $1,025.58
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$349.02 / $349.02 / $368.22
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$383.25 / $383.25 / $457.22