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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 / $161.62 / $3,133.46
Aetna
Facility/Professional
Facility
Modifier
50
Low / Median / High Price
$1,525.12 / $1,525.12 / $1,525.12
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$123.07 / $190.03 / $573.00
CareFirst
Facility/Professional
Professional
Modifier
Low / Median / High Price
$147.97 / $147.97 / $206.43
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$133.28 / $203.03 / $355.82
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$143.03 / $190.23 / $305.26
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$126.05 / $181.55 / $338.65
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$113.41 / $164.48 / $200.90