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Maryland rates for HCPCS 67015

Aspiration/Release Vitreous Subretinal/Choroidal

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$500.83 / $724.84 / $1,334.80
CareFirst
Facility/Professional
Professional
Modifier
Low / Median / High Price
$618.20 / $647.61 / $800.00
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$314.00 / $335.55 / $1,205.38
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$467.75 / $642.17 / $1,064.19
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$614.26 / $706.40 / $921.39
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,009.00 / $1,009.00 / $1,628.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$433.86 / $557.41 / $1,037.04
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$456.93 / $644.50 / $706.40