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Maryland rates for HCPCS Q4186

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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$150.33 / $2,099.50 / $2,699.30
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$151.16 / $151.16 / $541.29
CareFirst
Facility/Professional
Professional
Modifier
Low / Median / High Price
$98.29 / $98.29 / $98.29
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$151.16 / $151.16 / $151.16
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$151.16 / $151.16 / $192.52
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$128.49 / $151.16 / $344.56
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$151.16 / $151.16 / $159.47
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$158.33 / $158.33 / $198.03