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Maryland rates for HCPCS 76100

Radex 1 Plne Body Section Oth/Thn W/Urograpy

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$24.31 / $24.31 / $24.31
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$79.86 / $88.01 / $164.39
Aetna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$55.55 / $61.22 / $113.87
CareFirst
Facility/Professional
Professional
Modifier
Low / Median / High Price
$100.08 / $111.20 / $141.22
CareFirst
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$69.43 / $77.15 / $97.98
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$71.45 / $110.45 / $201.47
Cigna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$49.32 / $80.05 / $142.88
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$91.34 / $114.50 / $164.48
Kaiser Permanente
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$27.61 / $33.28 / $49.38
Kaiser Permanente
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$63.61 / $80.68 / $117.20
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$79.40 / $110.50 / $174.64
United
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$50.97 / $81.37 / $133.27
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$73.06 / $99.22 / $129.93
Wellpoint
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$50.89 / $70.16 / $89.67