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Maryland rates for HCPCS 22103

Prtl Exc Pst Vrt Intrnsc B1y Les 1 Vrt Sgm Ea

Insurance Carrier
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$518.54 / $518.54 / $1,335.00
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$136.55 / $179.21 / $251.88
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$36.00 / $36.00 / $41.00