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Maryland rates for HCPCS 74740

Hysterosalpingography, radiological supervision and interpretation

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$15.49 / $18.62 / $21.38
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$77.62 / $120.23 / $371.54
CareFirst
Facility/Professional
Professional
Modifier
Low / Median / High Price
$79.43 / $93.33 / $117.49
Cigna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$29.51 / $29.51 / $29.51
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$67.61 / $89.13 / $186.21
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$91.20 / $104.71 / $147.91
Kaiser Permanente
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$18.20 / $20.42 / $27.54
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$63.10 / $91.20 / $162.18
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$58.88 / $109.65 / $151.36