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Maryland rates for HCPCS 75984

Change of percutaneous tube or drainage catheter with contrast monitoring (eg, genitourinary system, abscess), radiological supervision and interpretation

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$31.92 / $31.93 / $43.75
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$80.83 / $91.60 / $320.56
CareFirst
Facility/Professional
Professional
Modifier
Low / Median / High Price
$119.87 / $122.27 / $166.29
Cigna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$43.40 / $43.40 / $43.40
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$75.81 / $116.07 / $227.24
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$92.69 / $121.27 / $182.51
Kaiser Permanente
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$35.97 / $45.44 / $61.03
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$84.07 / $105.42 / $176.37
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$88.40 / $112.21 / $139.22