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Maryland rates for HCPCS Q4258

Enverse, per sq cm

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$82.41 / $82.41 / $82.41
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$89.75 / $89.75 / $94.23
CareFirst
Facility/Professional
Professional
Modifier
Low / Median / High Price
$66.23 / $66.23 / $66.23
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$89.75 / $89.75 / $89.75
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$89.75 / $89.75 / $114.30
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$76.29 / $89.75 / $1,500.79
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,667.54 / $1,667.54 / $1,667.54
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$89.75 / $89.75 / $94.69
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$82.41 / $89.75 / $117.57