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Maryland rates for HCPCS 70543

Mri Orbit Face & Neck W/O & W/Contrast Matrl

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$119.35 / $151.19 / $250.74
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$393.92 / $475.00 / $2,201.46
Aetna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$103.04 / $140.00 / $513.24
Aetna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$281.41 / $335.00 / $1,256.01
CareFirst
Facility/Professional
Professional
Modifier
Low / Median / High Price
$592.95 / $608.92 / $967.48
CareFirst
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$103.26 / $115.41 / $131.91
CareFirst
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$472.30 / $493.52 / $864.22
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$303.64 / $654.28 / $1,225.59
Cigna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$79.27 / $120.41 / $235.44
Cigna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$221.39 / $497.12 / $1,041.68
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$356.59 / $460.00 / $776.04
Kaiser Permanente
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$101.27 / $122.28 / $167.01
Kaiser Permanente
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$253.73 / $327.31 / $636.49
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$336.21 / $514.30 / $1,050.65
United
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$53.63 / $106.66 / $178.34
United
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$250.82 / $383.76 / $889.64
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$285.27 / $388.02 / $504.43
Wellpoint
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$82.30 / $107.73 / $140.05
Wellpoint
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$202.98 / $280.29 / $358.32