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Maryland rates for HCPCS 55874

Transperineal Plmt Biodegradable Matrl 1/Mlt Njx

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$171.99 / $827.05 / $3,554.58
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$164.46 / $3,139.07 / $8,800.11
CareFirst
Facility/Professional
Professional
Modifier
Low / Median / High Price
$178.91 / $180.04 / $205.79
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,116.53 / $4,116.53 / $4,116.53
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$173.75 / $522.75 / $7,315.73
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,848.54 / $3,768.14 / $7,450.06
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,870.47 / $4,072.97 / $8,178.60
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,837.08 / $3,275.82 / $4,030.71