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Maryland rates for HCPCS 63043

Lamot Prtl Ffd Exc Disc Reexpl 1 Ntrspc Ea Crv

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$517.50 / $598.87 / $684.86
CareFirst
Facility/Professional
Professional
Modifier
Low / Median / High Price
$597.00 / $597.00 / $663.00
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$641.21 / $641.21 / $1,335.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$542.32 / $774.11 / $1,292.56
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$634.89 / $821.30 / $1,259.53
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$643.00 / $643.00 / $1,185.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$233.05 / $543.91 / $1,097.48
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$475.05 / $475.05 / $475.05