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Maryland rates for HCPCS 76885

Us Inft Hips R-T Img Dynamic Req Phys/Qhp Manj

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$107.10 / $704.01 / $966.53
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$89.12 / $116.00 / $562.00
CareFirst
Facility/Professional
Professional
Modifier
Low / Median / High Price
$106.69 / $144.74 / $201.90
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$117.02 / $117.02 / $117.02
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$105.32 / $147.30 / $314.02
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$139.58 / $167.50 / $252.45
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$101.77 / $150.58 / $344.63
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$76.59 / $150.10 / $185.58