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Maryland rates for HCPCS 0054T

Computer-assisted musculoskeletal surgical navigational orthopedic procedure, with image-guidance based on fluoroscopic images (List separately in addition to code for primary procedure)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.98 / $0.98 / $0.98
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$107.15 / $177.83 / $575.44
CareFirst
Facility/Professional
Professional
Modifier
Low / Median / High Price
$245.47 / $275.42 / $323.59
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$645.65 / $645.65 / $645.65
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$181.97 / $181.97 / $218.78
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$169.82 / $190.55 / $309.03
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$36.31 / $40.74 / $275.42
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$223.87 / $331.13 / $549.54