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Maryland rates for HCPCS 77075

Radiologic Examination Osseous Survey Compl

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$22.87 / $27.44 / $30.62
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$86.71 / $103.01 / $274.76
Aetna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$22.87 / $26.10 / $72.38
Aetna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$63.08 / $78.43 / $201.37
CareFirst
Facility/Professional
Professional
Modifier
Low / Median / High Price
$91.06 / $110.67 / $126.49
CareFirst
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$25.36 / $28.18 / $32.21
CareFirst
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$62.40 / $82.49 / $94.28
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$79.59 / $109.18 / $220.76
Cigna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$20.37 / $30.41 / $57.94
Cigna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$58.53 / $81.80 / $172.73
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$102.90 / $121.13 / $173.39
Kaiser Permanente
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$25.99 / $30.77 / $43.84
Kaiser Permanente
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$76.51 / $91.17 / $129.54
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$70.08 / $94.23 / $175.96
United
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$19.55 / $28.51 / $48.24
United
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$55.72 / $74.76 / $126.16
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$74.70 / $112.07 / $146.19
Wellpoint
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$19.16 / $28.07 / $38.28
Wellpoint
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$55.55 / $84.42 / $107.91