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Maryland rates for HCPCS 75880

Venography Orbital Rs&I

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$96.13 / $96.13 / $96.13
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$94.30 / $103.99 / $669.91
CareFirst
Facility/Professional
Professional
Modifier
Low / Median / High Price
$131.88 / $146.53 / $186.09
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$87.60 / $87.60 / $87.60
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$83.78 / $139.01 / $306.54
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$111.76 / $139.66 / $203.82
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$84.29 / $130.55 / $216.79
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$89.41 / $121.44 / $158.97