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Maryland rates for HCPCS 53080

Drg Perineal Urinary Xtrvasation Uncomp Spx

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$429.43 / $452.21 / $2,219.59
CareFirst
Facility/Professional
Professional
Modifier
Low / Median / High Price
$445.00 / $461.74 / $527.77
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$333.15 / $333.15 / $333.15
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$428.51 / $604.76 / $1,323.36
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$437.46 / $581.82 / $928.87
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,628.00 / $1,628.00 / $1,628.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$375.37 / $541.53 / $872.48
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$346.64 / $503.08 / $624.96