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Maryland rates for HCPCS 75774

Angrph Slctv Ea Vsl Studied After Basic Xm Rs&I

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$39.61 / $39.61 / $39.61
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$85.63 / $122.02 / $361.74
Aetna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$15.71 / $40.79 / $98.73
Aetna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$46.01 / $84.68 / $329.91
CareFirst
Facility/Professional
Professional
Modifier
Low / Median / High Price
$112.65 / $127.89 / $564.97
CareFirst
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$19.75 / $54.72 / $61.92
CareFirst
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$72.84 / $73.17 / $545.22
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$76.41 / $127.80 / $474.40
Cigna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$17.11 / $35.61 / $99.90
Cigna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$40.78 / $85.22 / $320.20
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$98.78 / $127.43 / $189.63
Kaiser Permanente
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$31.17 / $51.81 / $69.08
Kaiser Permanente
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$52.73 / $68.02 / $153.24
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$94.70 / $149.38 / $312.83
United
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$14.34 / $43.78 / $85.47
United
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$52.54 / $85.90 / $297.33
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$79.02 / $106.19 / $141.12
Wellpoint
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$36.84 / $48.92 / $66.70
Wellpoint
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$42.18 / $58.21 / $74.41