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Maryland rates for HCPCS 73050

Radiologic examination; acromioclavicular joints, bilateral, with or without weighted distraction

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$7.76 / $7.76 / $7.76
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$25.12 / $42.66 / $138.04
Aetna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$7.94 / $13.80 / $33.88
Aetna
Facility/Professional
Professional
Modifier
52
Low / Median / High Price
$30.20 / $53.70 / $93.33
Aetna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$15.85 / $26.30 / $87.10
CareFirst
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9.55 / $29.51 / $41.69
CareFirst
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$8.51 / $8.71 / $12.30
CareFirst
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$20.42 / $22.91 / $30.90
Cigna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$14.79 / $14.79 / $14.79
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$23.44 / $38.90 / $75.86
Cigna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$7.08 / $11.48 / $21.88
Cigna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$16.22 / $27.54 / $53.70
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.36 / $37.15 / $48.98
Kaiser Permanente
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$9.55 / $10.72 / $14.79
Kaiser Permanente
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$22.39 / $26.30 / $33.88
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$26.30 / $35.48 / $60.26
United
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$7.59 / $10.00 / $17.78
United
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$18.62 / $25.70 / $43.65
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$28.18 / $37.15 / $46.77
Wellpoint
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$8.51 / $11.22 / $14.13
Wellpoint
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$19.50 / $26.30 / $33.11