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Maryland rates for HCPCS Q4247

AmnioText EX SHEE 1 CM X 1 CM

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,417.38 / $1,417.38 / $1,417.38
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,539.19 / $3,128.00 / $3,128.00
CareFirst
Facility/Professional
Professional
Modifier
Low / Median / High Price
$530.00 / $530.00 / $530.00
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,128.00 / $3,128.00 / $3,128.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,128.00 / $3,128.00 / $3,128.00
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,077.33 / $3,309.53 / $3,677.25
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,197.98 / $3,200.00 / $3,392.00