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Maryland rates for HCPCS Q4191

Restorigin, per square centimeter

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$730.43 / $730.43 / $730.43
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$655.29 / $655.29 / $688.07
CareFirst
Facility/Professional
Professional
Modifier
Low / Median / High Price
$655.29 / $655.29 / $655.29
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$655.29 / $655.29 / $655.29
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$655.29 / $655.29 / $834.58
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$557.01 / $655.29 / $1,574.85
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$655.29 / $655.29 / $691.34
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$858.44 / $1,016.31 / $1,016.31