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Maryland rates for HCPCS 50694

Plmt Urtrl Stnt Prq New Acess W/O Sep Nfros Cath

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,775.68 / $3,775.68 / $3,775.68
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,745.52 / $1,745.52 / $1,745.52
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,112.65 / $1,456.30 / $2,598.30