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Maryland rates for HCPCS 0258U

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,388.75 / $2,719.50 / $2,756.25
CareFirst
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,940.00 / $3,381.00 / $3,854.34
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,947.75 / $1,947.75 / $1,947.75
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,675.00 / $4,226.25 / $5,512.50
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,543.50 / $1,653.75 / $2,938.31
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,837.50 / $1,837.50 / $1,837.50