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Maryland rates for HCPCS 77074

Radiologic Examination Osseous Survey Limited

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$17.86 / $17.86 / $17.86
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$56.73 / $63.02 / $191.40
Aetna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$17.86 / $20.09 / $60.83
Aetna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$37.99 / $43.78 / $130.56
CareFirst
Facility/Professional
Professional
Modifier
Low / Median / High Price
$67.67 / $75.22 / $85.98
CareFirst
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$21.37 / $23.75 / $27.14
CareFirst
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$43.67 / $51.47 / $58.84
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$52.40 / $77.45 / $145.61
Cigna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$16.17 / $24.79 / $47.82
Cigna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$36.11 / $54.53 / $104.79
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$67.73 / $81.29 / $113.27
Kaiser Permanente
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$20.65 / $25.13 / $34.31
Kaiser Permanente
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$46.80 / $56.16 / $78.95
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$52.28 / $69.47 / $144.41
United
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$15.74 / $22.74 / $38.85
United
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$34.71 / $43.60 / $71.97
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$52.24 / $73.63 / $96.47
Wellpoint
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$16.14 / $22.32 / $30.44
Wellpoint
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$36.09 / $51.66 / $66.03