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Maryland rates for HCPCS 76965

Us Guidance Interstitial Radioelment Application

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$57.01 / $57.01 / $57.01
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$81.23 / $104.87 / $534.04
Aetna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$57.01 / $61.20 / $192.23
CareFirst
Facility/Professional
Professional
Modifier
Low / Median / High Price
$91.70 / $98.01 / $312.67
CareFirst
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$71.31 / $71.31 / $81.51
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$75.48 / $122.26 / $310.36
Cigna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$52.17 / $78.16 / $177.94
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$97.59 / $129.79 / $206.14
Kaiser Permanente
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$68.22 / $90.73 / $143.56
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$81.15 / $116.44 / $277.58
United
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$52.72 / $69.81 / $124.13
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$88.45 / $112.23 / $140.63
Wellpoint
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$61.83 / $78.45 / $99.24