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Maryland rates for HCPCS 76873

Us Transrct Prstate Vol Brachytx Plnning Spx

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$65.12 / $65.12 / $65.12
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$153.19 / $170.31 / $480.58
Aetna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$65.12 / $70.76 / $206.49
CareFirst
Facility/Professional
Professional
Modifier
Low / Median / High Price
$165.59 / $183.99 / $233.67
CareFirst
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$74.23 / $82.48 / $105.57
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$132.75 / $192.39 / $386.64
Cigna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$58.61 / $87.97 / $165.93
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$180.33 / $224.50 / $305.56
Kaiser Permanente
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$76.62 / $92.83 / $126.93
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$141.24 / $182.97 / $308.73
United
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$60.28 / $75.83 / $148.11
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$135.83 / $207.38 / $257.87
Wellpoint
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$57.71 / $88.11 / $111.50