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Maryland rates for HCPCS 76145

Medical physics dose evaluation for radiation exposure that exceeds institutional review threshold, including report

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$812.83 / $812.83 / $812.83
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$691.83 / $831.76 / $1,174.90
CareFirst
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,023.29 / $1,148.15 / $1,288.25
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$741.31 / $1,047.13 / $2,511.89
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,071.52 / $1,230.27 / $1,659.59
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$645.65 / $891.25 / $1,513.56
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$707.95 / $933.25 / $1,584.89
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$741.31 / $1,288.25 / $1,584.89