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Maryland rates for HCPCS 67105

Rpr Retinal Dtchmnt Drg Subretinal Fluid Pc

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$283.63 / $379.58 / $1,448.80
CareFirst
Facility/Professional
Professional
Modifier
Low / Median / High Price
$308.73 / $318.81 / $733.82
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$140.28 / $165.04 / $335.55
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$252.70 / $502.78 / $828.59
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$287.38 / $347.89 / $486.44
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$294.00 / $294.00 / $294.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$279.70 / $537.05 / $772.03
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$290.52 / $299.61 / $347.89