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Maryland rates for HCPCS 38900

Intraoperative identification (eg, mapping) of sentinel lymph node(s) includes injection of non-radioactive dye, when performed (List separately in addition to code for primary procedure)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.98 / $154.88 / $3,630.78
Aetna
Facility/Professional
Facility
Modifier
50
Low / Median / High Price
$1,513.56 / $1,513.56 / $1,513.56
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$125.89 / $223.87 / $512.86
CareFirst
Facility/Professional
Professional
Modifier
Low / Median / High Price
$131.83 / $147.91 / $186.21
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$131.83 / $194.98 / $354.81
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$151.36 / $173.78 / $239.88
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$128.82 / $128.82 / $128.82
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$123.03 / $173.78 / $275.42
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$112.20 / $194.98 / $218.78