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Maryland rates for HCPCS Q4210

Axolotl Graft or Axolotl DualGraft, per sq cm

Insurance Carrier
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$870.96 / $912.01 / $1,096.48
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$630.96 / $758.58 / $1,148.15
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$954.99 / $954.99 / $954.99
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$812.83 / $851.14 / $851.14