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Maryland rates for HCPCS 21194

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Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,226.58 / $1,424.31 / $1,606.56
CareFirst
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,594.95 / $1,594.95 / $2,030.00
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$507.00 / $641.21 / $2,754.30
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,309.38 / $1,891.84 / $3,250.65
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,467.44 / $1,893.00 / $2,483.94
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$847.00 / $847.00 / $1,560.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,083.49 / $1,584.84 / $2,943.76
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,336.53 / $1,687.56 / $2,100.00