go back

Maryland rates for HCPCS 75803

Lymphangiography, extremity only, bilateral, radiological supervision and interpretation

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,325.18 / $1,325.18 / $1,325.18
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$975.77 / $1,380.29 / $1,645.29
CareFirst
Facility/Professional
Professional
Modifier
Low / Median / High Price
$280.00 / $1,487.73 / $1,757.70
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$328.25 / $328.25 / $666.87
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$202.17 / $310.00 / $579.66
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$261.87 / $337.81 / $554.07
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$218.44 / $1,645.57 / $2,875.13
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$50.50 / $1,912.58 / $2,390.73