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Maryland rates for HCPCS 0311U

Infectious disease (bacterial), quantitative antimicrobial susceptibility reported as phenotypic minimum inhibitory concentration (MIC)-based antimicrobial susceptibility for each organism identified

Facilitymedian $3 · 10th–90th $3–$60%50%90th$3Professionalmedian $6 · 10th–90th $4–$80%20%40%10th90th$6$5.0$10.0$20.0$50.0$100.0$200.0

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Small sample — interpret with caution. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$5.01 / $6.03 / $7.08
CareFirst
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$5.75 / $6.46 / $6.61
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$4.27 / $4.27 / $4.27
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$4.27 / $9.55 / $11.75
Kaiser Permanente
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$7.76 / $8.91 / $12.02
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$3.39 / $3.39 / $8.13
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$3.39 / $3.63 / $7.76
Wellpoint
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$4.17 / $6.46 / $199.53