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Maryland rates for HCPCS 61623

Evasc Temp Balloon Artl Occlusion Head/Neck

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,223.27 / $3,223.27 / $3,223.27
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$607.29 / $783.40 / $1,262.05