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Maryland rates for HCPCS 76975

Gi Endoscopic Us S&I

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$217.82 / $217.82 / $217.82
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$157.53 / $217.82 / $270.39
CareFirst
Facility/Professional
Professional
Modifier
Low / Median / High Price
$109.93 / $112.05 / $306.29
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$109.23 / $109.23 / $109.23
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$78.37 / $111.39 / $223.58
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$96.02 / $125.74 / $211.28
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$89.74 / $241.23 / $472.21
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$86.08 / $315.52 / $387.39