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Maryland rates for HCPCS 63290

Lam Bx/Exc Ispi Neo Xdrl-Idrl Les Any Lvl

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,474.89 / $2,892.07 / $7,561.62
CareFirst
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,849.18 / $3,153.97 / $3,343.21
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
$2,518.96 / $3,561.94 / $6,234.59
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,935.42 / $3,890.99 / $4,943.87
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,169.00 / $2,169.00 / $4,028.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,169.08 / $3,045.37 / $5,898.51
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,540.25 / $3,468.71 / $4,152.14