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Maryland rates for HCPCS Q4178

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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$93.11 / $93.11 / $93.11
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$89.41 / $89.41 / $93.88
CareFirst
Facility/Professional
Professional
Modifier
Low / Median / High Price
$191.25 / $191.25 / $191.25
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$89.41 / $89.41 / $89.41
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$89.41 / $89.41 / $113.87
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$76.00 / $89.41 / $202.60
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$89.41 / $89.41 / $98.02
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$89.41 / $89.41 / $117.13