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Maryland rates for HCPCS Q4234

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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$194.83 / $194.83 / $194.83
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$553.94 / $553.94 / $609.33
CareFirst
Facility/Professional
Professional
Modifier
Low / Median / High Price
$37.79 / $37.79 / $37.79
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$553.94 / $553.94 / $553.94
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$553.94 / $553.94 / $705.48
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$470.84 / $553.92 / $1,545.82
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$247.92 / $553.94 / $581.91
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$194.83 / $553.92 / $725.65