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Maryland rates for HCPCS 71130

Radiologic examination; sternoclavicular joint or joints, minimum of 3 views

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$8.91 / $8.91 / $8.91
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$33.11 / $48.98 / $141.25
Aetna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$7.94 / $12.88 / $31.62
Aetna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$22.91 / $30.90 / $79.43
CareFirst
Facility/Professional
Professional
Modifier
Low / Median / High Price
$31.62 / $41.69 / $51.29
CareFirst
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$9.77 / $10.96 / $14.79
CareFirst
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$30.20 / $36.31 / $54.95
Cigna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$16.98 / $16.98 / $16.98
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$31.62 / $42.66 / $85.11
Cigna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$8.13 / $12.02 / $23.44
Cigna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$23.44 / $32.36 / $72.44
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$41.69 / $48.98 / $66.07
Kaiser Permanente
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$10.72 / $11.75 / $16.22
Kaiser Permanente
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$31.62 / $36.31 / $50.12
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.20 / $40.74 / $72.44
United
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$8.32 / $11.48 / $19.95
United
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$21.88 / $28.84 / $53.70
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$29.51 / $51.29 / $67.61
Wellpoint
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$7.24 / $12.30 / $15.85
Wellpoint
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$22.39 / $38.02 / $52.48