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Maryland rates for HCPCS 15241

Fth/Gt Fr W/Dir Clsr F/C/C/M/N/Ax/G/H/F Ea Addl

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.96 / $1.96 / $909.26
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$96.51 / $159.40 / $433.83
CareFirst
Facility/Professional
Professional
Modifier
Low / Median / High Price
$120.86 / $120.86 / $150.06
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$99.94 / $163.25 / $279.56
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$164.87 / $225.33 / $409.69
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$150.00 / $150.00 / $150.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$144.38 / $181.96 / $342.33
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$114.65 / $147.25 / $206.20