go back

Maryland rates for HCPCS 30560

Lysis Intranasal Synechia

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,180.50 / $3,180.50 / $3,180.50
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$144.27 / $261.88 / $414.43
CareFirst
Facility/Professional
Professional
Modifier
Low / Median / High Price
$123.94 / $166.90 / $195.06
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$287.92 / $287.92 / $287.92
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$152.61 / $316.97 / $591.76
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$277.79 / $421.58 / $760.01
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$238.50 / $330.96 / $635.70
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$213.97 / $375.83 / $462.71