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Maryland rates for HCPCS 74290

Cholecystography, oral contrast

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$77.62 / $77.62 / $77.62
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$64.57 / $87.10 / $173.78
CareFirst
Facility/Professional
Professional
Modifier
Low / Median / High Price
$16.22 / $85.11 / $97.72
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$54.95 / $54.95 / $128.82
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$52.48 / $77.62 / $177.83
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$81.28 / $95.50 / $134.90
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$11.75 / $27.54 / $70.79
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$45.71 / $81.28 / $147.91
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$56.23 / $100.00 / $138.04