go back

Maryland rates for HCPCS Q4219

Surgigraft-Dual Per Square Centimeter

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,020.00 / $1,020.00 / $1,020.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$960.00 / $1,020.00 / $1,020.00
CareFirst
Facility/Professional
Professional
Modifier
Low / Median / High Price
$100.84 / $100.84 / $100.84
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,020.00 / $1,020.00 / $1,020.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,020.00 / $1,020.00 / $1,020.00
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$710.09 / $710.09 / $788.99
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$788.99 / $788.99 / $788.99
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$788.99 / $788.99 / $828.44