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Maryland rates for HCPCS 67229

Extensive Retinopathy 1/> Sess Preterm Infant

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$956.70 / $1,373.11 / $1,863.81
CareFirst
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,035.95 / $1,285.91 / $1,369.00
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$50.00 / $50.00 / $292.36
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$913.58 / $1,221.61 / $2,038.02
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,172.14 / $1,347.96 / $1,758.21
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$294.00 / $294.00 / $294.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$828.76 / $1,092.83 / $2,475.27
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$915.67 / $1,232.80 / $1,347.96