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Maryland rates for HCPCS 76770

Us Retroperitoneal Real Time W/Image Complete

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$127.16 / $576.77 / $887.70
Aetna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$30.00 / $36.29 / $59.70
Aetna
Facility/Professional
Facility
Modifier
TC
Low / Median / High Price
$79.91 / $283.64 / $638.91
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$96.59 / $146.49 / $559.20
Aetna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$31.08 / $46.33 / $146.34
Aetna
Facility/Professional
Professional
Modifier
52
Low / Median / High Price
$46.46 / $52.24 / $181.01
Aetna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$66.59 / $95.89 / $264.48
CareFirst
Facility/Professional
Professional
Modifier
Low / Median / High Price
$128.99 / $143.32 / $182.02
CareFirst
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$34.71 / $38.56 / $56.30
CareFirst
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$94.28 / $104.76 / $133.05
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$56.36 / $56.81 / $138.60
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$86.68 / $133.47 / $245.00
Cigna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$27.15 / $40.31 / $77.14
Cigna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$59.54 / $93.35 / $175.89
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$111.69 / $142.47 / $196.94
Kaiser Permanente
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$35.00 / $42.37 / $62.33
Kaiser Permanente
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$76.51 / $97.17 / $139.41
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$91.85 / $120.93 / $207.59
United
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$27.18 / $36.88 / $69.64
United
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$66.40 / $93.10 / $179.94
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$98.79 / $128.44 / $158.94
Wellpoint
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$31.11 / $40.45 / $51.05
Wellpoint
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$67.67 / $87.99 / $109.75