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Maryland rates for HCPCS 58615

Occlusion Flp Tube Dev Vag/Suprapubic Appr

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$214.01 / $216.51 / $1,315.37
CareFirst
Facility/Professional
Professional
Modifier
Low / Median / High Price
$275.43 / $284.42 / $495.00
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,765.51 / $1,765.51 / $1,765.51
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$234.68 / $343.86 / $657.69
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$263.17 / $350.02 / $571.05
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$221.87 / $295.02 / $507.87
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$244.99 / $302.64 / $373.52