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Maryland rates for HCPCS 71271

Computed Tomography Thorax Lw Dose Lng Ca Scr C-

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$44.15 / $52.97 / $59.68
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$130.46 / $158.85 / $364.32
Aetna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$45.76 / $57.95 / $147.22
Aetna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$82.49 / $97.45 / $220.00
CareFirst
Facility/Professional
Professional
Modifier
Low / Median / High Price
$195.50 / $249.78 / $282.64
CareFirst
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$66.48 / $79.93 / $90.45
CareFirst
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$129.01 / $169.85 / $192.20
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$119.41 / $200.35 / $380.00
Cigna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$39.72 / $60.86 / $118.86
Cigna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$77.70 / $129.19 / $249.14
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$144.33 / $169.32 / $256.80
Kaiser Permanente
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$50.62 / $59.24 / $84.08
Kaiser Permanente
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$92.64 / $111.16 / $172.72
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$93.22 / $153.77 / $277.88
United
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$26.71 / $51.63 / $88.91
United
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$56.70 / $106.57 / $184.73
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$115.68 / $156.78 / $203.81
Wellpoint
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$41.08 / $53.85 / $70.01
Wellpoint
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$74.59 / $102.93 / $131.58