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Maryland rates for HCPCS 76886

Us Inft Hips R-T Img Lmtd Static Phys/Qhp Manj

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$89.94 / $563.84 / $992.12
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$83.89 / $97.42 / $519.00
CareFirst
Facility/Professional
Professional
Modifier
Low / Median / High Price
$94.57 / $105.08 / $147.66
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$104.57 / $104.57 / $104.57
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$78.62 / $116.74 / $227.70
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$102.70 / $128.55 / $184.47
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$75.11 / $103.36 / $196.63
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$70.79 / $118.10 / $146.19