- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $30.20 / $288.40 / $346.74
| Facility | | $30.20 | $288.40 | $346.74 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $30.20 / $57.54 / $426.58
| Professional | | $30.20 | $57.54 | $426.58 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $134.90 / $190.55 / $302.00
| Professional | | $134.90 | $190.55 | $302.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $61.66 / $61.66 / $61.66
| Facility | | $61.66 | $61.66 | $61.66 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $138.04 / $194.98 / $288.40
| Professional | | $138.04 | $194.98 | $288.40 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $302.00 / $302.00 / $302.00
| Facility | | $302.00 | $302.00 | $302.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $66.07 / $331.13 / $575.44
| Professional | | $66.07 | $331.13 | $575.44 |
Johns Hopkins Employer Health Plan - Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $239.88 / $239.88 / $239.88
| Facility | | $239.88 | $239.88 | $239.88 |
Johns Hopkins Employer Health Plan - Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $169.82 / $218.78 / $302.00
| Professional | | $169.82 | $218.78 | $302.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $47.86 / $257.04 / $338.84
| Facility | | $47.86 | $257.04 | $338.84 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $41.69 / $281.84 / $457.09
| Professional | | $41.69 | $281.84 | $457.09 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $3.02 / $12.02 / $81.28
| Professional | | $3.02 | $12.02 | $81.28 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $39.81 / $57.54 / $79.43
| Professional | | $39.81 | $57.54 | $79.43 |