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Maryland rates for HCPCS 57155

Insertion Uterine Tandem&/Vaginal Ovoids

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$277.05 / $470.67 / $8,895.64
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$228.16 / $336.53 / $1,019.58
CareFirst
Facility/Professional
Professional
Modifier
Low / Median / High Price
$301.31 / $312.19 / $497.47
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,346.87 / $2,346.87 / $2,346.87
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$282.92 / $486.51 / $920.68
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$356.49 / $538.69 / $875.70
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$307.67 / $442.14 / $712.99
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$348.98 / $480.23 / $596.94