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Maryland rates for HCPCS 66174

Trluml Dilat Aqueous O/F Can Wo Retention Dev/St

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.00 / $744.15 / $2,830.58
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$722.30 / $794.41 / $2,995.79
CareFirst
Facility/Professional
Professional
Modifier
Low / Median / High Price
$667.01 / $863.41 / $2,465.46
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$682.00 / $722.49 / $2,078.94
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$573.88 / $973.39 / $1,655.19
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$636.66 / $732.17 / $955.01
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,118.00 / $2,118.00 / $2,118.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$774.80 / $996.08 / $1,692.90
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$636.66 / $668.23 / $732.17