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Maryland rates for HCPCS 58976

Gamete Zygote/Embryo Fallopian Transfer Any Meth

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$175.44 / $218.69 / $1,116.61
CareFirst
Facility/Professional
Professional
Modifier
Low / Median / High Price
$232.91 / $233.30 / $276.00
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$171.97 / $171.97 / $171.97
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$206.90 / $320.07 / $631.51
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$267.08 / $355.22 / $581.50
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$225.38 / $310.98 / $570.41
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$307.14 / $341.10 / $379.01