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Maryland rates for HCPCS 74290

Cholecystography Oral Contrst

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$77.80 / $77.80 / $77.80
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$72.87 / $84.87 / $167.15
CareFirst
Facility/Professional
Professional
Modifier
Low / Median / High Price
$77.38 / $91.59 / $111.82
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$54.69 / $54.69 / $54.69
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$56.77 / $84.92 / $187.07
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$73.73 / $99.82 / $155.66
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$47.06 / $79.88 / $147.00
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$55.94 / $94.97 / $123.12