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Maryland rates for HCPCS 01922

Anes Non-Invasive Imaging/Radiation Therapy

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$491.92 / $656.00 / $1,657.02
Aetna
Facility/Professional
Professional
Modifier
AA
Low / Median / High Price
$675.79 / $1,289.59 / $1,820.00
Aetna
Facility/Professional
Professional
Modifier
QK
Low / Median / High Price
$390.82 / $672.75 / $1,082.90
Aetna
Facility/Professional
Professional
Modifier
QX
Low / Median / High Price
$436.26 / $665.50 / $940.50
Aetna
Facility/Professional
Professional
Modifier
QZ
Low / Median / High Price
$195.85 / $1,154.30 / $1,353.00
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$360.00 / $520.00 / $664.00