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Maryland rates for HCPCS 38200

Injection procedure for splenoportography

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$119.35 / $129.19 / $207.03
CareFirst
Facility/Professional
Professional
Modifier
Low / Median / High Price
$145.99 / $145.99 / $215.00
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$147.04 / $147.04 / $147.04
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$121.77 / $162.99 / $324.14
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$129.53 / $168.55 / $216.94
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$115.28 / $157.91 / $272.50
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$104.53 / $138.09 / $188.31