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Maryland rates for HCPCS 0055T

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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$53.70 / $2,454.71 / $12,589.25
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$141.25 / $218.78 / $446.68
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
$223.87 / $251.19 / $380.19
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$36.31 / $40.74 / $363.08
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$281.84 / $446.68 / $724.44