- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $239.88 / $426.58 / $954.99
| Facility | | $239.88 | $426.58 | $954.99 |
- Facility/Professional
- Facility
- Modifier
- QK
- Low / Median / High Price
- $83.18 / $83.18 / $83.18
| Facility | QK | $83.18 | $83.18 | $83.18 |
- Facility/Professional
- Facility
- Modifier
- QX
- Low / Median / High Price
- $208.93 / $245.47 / $831.76
| Facility | QX | $208.93 | $245.47 | $831.76 |
- Facility/Professional
- Facility
- Modifier
- QY
- Low / Median / High Price
- $87.10 / $87.10 / $87.10
| Facility | QY | $87.10 | $87.10 | $87.10 |
- Facility/Professional
- Facility
- Modifier
- QZ
- Low / Median / High Price
- $645.65 / $645.65 / $851.14
| Facility | QZ | $645.65 | $645.65 | $851.14 |
- Facility/Professional
- Professional
- Modifier
- AA
- Low / Median / High Price
- $194.98 / $831.76 / $1,659.59
| Professional | AA | $194.98 | $831.76 | $1,659.59 |
- Facility/Professional
- Professional
- Modifier
- QK
- Low / Median / High Price
- $114.82 / $338.84 / $602.56
| Professional | QK | $114.82 | $338.84 | $602.56 |
- Facility/Professional
- Professional
- Modifier
- QX
- Low / Median / High Price
- $134.90 / $338.84 / $602.56
| Professional | QX | $134.90 | $338.84 | $602.56 |
- Facility/Professional
- Professional
- Modifier
- QY
- Low / Median / High Price
- $229.09 / $331.13 / $602.56
| Professional | QY | $229.09 | $331.13 | $602.56 |
- Facility/Professional
- Professional
- Modifier
- QZ
- Low / Median / High Price
- $363.08 / $602.56 / $1,380.38
| Professional | QZ | $363.08 | $602.56 | $1,380.38 |
- Facility/Professional
- Professional
- Modifier
- AA
- Low / Median / High Price
- $144.54 / $257.04 / $588.84
| Professional | AA | $144.54 | $257.04 | $588.84 |
- Facility/Professional
- Professional
- Modifier
- QK
- Low / Median / High Price
- $60.26 / $109.65 / $245.47
| Professional | QK | $60.26 | $109.65 | $245.47 |
- Facility/Professional
- Professional
- Modifier
- QX
- Low / Median / High Price
- $52.48 / $123.03 / $269.15
| Professional | QX | $52.48 | $123.03 | $269.15 |
- Facility/Professional
- Professional
- Modifier
- QY
- Low / Median / High Price
- $61.66 / $123.03 / $208.93
| Professional | QY | $61.66 | $123.03 | $208.93 |
- Facility/Professional
- Professional
- Modifier
- QZ
- Low / Median / High Price
- $123.03 / $181.97 / $524.81
| Professional | QZ | $123.03 | $181.97 | $524.81 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $61.66 / $61.66 / $61.66
| Facility | | $61.66 | $61.66 | $61.66 |
- Facility/Professional
- Facility
- Modifier
- QK
- Low / Median / High Price
- $30.90 / $30.90 / $30.90
| Facility | QK | $30.90 | $30.90 | $30.90 |
- Facility/Professional
- Facility
- Modifier
- QX
- Low / Median / High Price
- $30.90 / $30.90 / $30.90
| Facility | QX | $30.90 | $30.90 | $30.90 |
- Facility/Professional
- Facility
- Modifier
- QY
- Low / Median / High Price
- $30.90 / $30.90 / $30.90
| Facility | QY | $30.90 | $30.90 | $30.90 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $446.68 / $446.68 / $446.68
| Facility | | $446.68 | $446.68 | $446.68 |
- Facility/Professional
- Professional
- Modifier
- AA
- Low / Median / High Price
- $141.25 / $316.23 / $467.74
| Professional | AA | $141.25 | $316.23 | $467.74 |
- Facility/Professional
- Professional
- Modifier
- QK
- Low / Median / High Price
- $141.25 / $316.23 / $467.74
| Professional | QK | $141.25 | $316.23 | $467.74 |
- Facility/Professional
- Professional
- Modifier
- QX
- Low / Median / High Price
- $141.25 / $316.23 / $467.74
| Professional | QX | $141.25 | $316.23 | $467.74 |
- Facility/Professional
- Professional
- Modifier
- QY
- Low / Median / High Price
- $141.25 / $316.23 / $467.74
| Professional | QY | $141.25 | $316.23 | $467.74 |
- Facility/Professional
- Professional
- Modifier
- QZ
- Low / Median / High Price
- $141.25 / $316.23 / $467.74
| Professional | QZ | $141.25 | $316.23 | $467.74 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $524.81 / $524.81 / $524.81
| Facility | | $524.81 | $524.81 | $524.81 |
- Facility/Professional
- Facility
- Modifier
- QZ
- Low / Median / High Price
- $61.66 / $61.66 / $61.66
| Facility | QZ | $61.66 | $61.66 | $61.66 |
- Facility/Professional
- Professional
- Modifier
- AA
- Low / Median / High Price
- $380.19 / $501.19 / $1,000.00
| Professional | AA | $380.19 | $501.19 | $1,000.00 |
- Facility/Professional
- Professional
- Modifier
- QK
- Low / Median / High Price
- $398.11 / $524.81 / $776.25
| Professional | QK | $398.11 | $524.81 | $776.25 |
- Facility/Professional
- Professional
- Modifier
- QX
- Low / Median / High Price
- $416.87 / $512.86 / $724.44
| Professional | QX | $416.87 | $512.86 | $724.44 |
- Facility/Professional
- Professional
- Modifier
- QY
- Low / Median / High Price
- $398.11 / $524.81 / $851.14
| Professional | QY | $398.11 | $524.81 | $851.14 |
- Facility/Professional
- Professional
- Modifier
- QZ
- Low / Median / High Price
- $323.59 / $407.38 / $501.19
| Professional | QZ | $323.59 | $407.38 | $501.19 |
Johns Hopkins Employer Health Plan - Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $363.08 / $363.08 / $363.08
| Facility | | $363.08 | $363.08 | $363.08 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $239.88 / $389.05 / $537.03
| Facility | | $239.88 | $389.05 | $537.03 |
- Facility/Professional
- Facility
- Modifier
- QK
- Low / Median / High Price
- $83.18 / $83.18 / $83.18
| Facility | QK | $83.18 | $83.18 | $83.18 |
- Facility/Professional
- Facility
- Modifier
- QX
- Low / Median / High Price
- $208.93 / $245.47 / $831.76
| Facility | QX | $208.93 | $245.47 | $831.76 |
- Facility/Professional
- Facility
- Modifier
- QY
- Low / Median / High Price
- $87.10 / $87.10 / $87.10
| Facility | QY | $87.10 | $87.10 | $87.10 |
- Facility/Professional
- Facility
- Modifier
- QZ
- Low / Median / High Price
- $645.65 / $645.65 / $851.14
| Facility | QZ | $645.65 | $645.65 | $851.14 |
- Facility/Professional
- Professional
- Modifier
- AA
- Low / Median / High Price
- $229.09 / $851.14 / $1,698.24
| Professional | AA | $229.09 | $851.14 | $1,698.24 |
- Facility/Professional
- Professional
- Modifier
- QK
- Low / Median / High Price
- $114.82 / $338.84 / $645.65
| Professional | QK | $114.82 | $338.84 | $645.65 |
- Facility/Professional
- Professional
- Modifier
- QX
- Low / Median / High Price
- $125.89 / $346.74 / $660.69
| Professional | QX | $125.89 | $346.74 | $660.69 |
- Facility/Professional
- Professional
- Modifier
- QY
- Low / Median / High Price
- $223.87 / $338.84 / $616.60
| Professional | QY | $223.87 | $338.84 | $616.60 |
- Facility/Professional
- Professional
- Modifier
- QZ
- Low / Median / High Price
- $288.40 / $602.56 / $1,445.44
| Professional | QZ | $288.40 | $602.56 | $1,445.44 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,318.26 / $1,479.11 / $2,238.72
| Facility | | $1,318.26 | $1,479.11 | $2,238.72 |