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Maryland rates for HCPCS 77290

Therapeutic radiology simulation-aided field setting; complex

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$70.79 / $97.72 / $100.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$407.38 / $812.83 / $2,754.23
Aetna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$70.79 / $141.25 / $288.40
Aetna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$346.74 / $549.54 / $1,479.11
CareFirst
Facility/Professional
Professional
Modifier
Low / Median / High Price
$204.17 / $501.19 / $676.08
CareFirst
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$79.43 / $89.13 / $112.20
CareFirst
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$371.54 / $416.87 / $562.34
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$354.81 / $562.34 / $1,230.27
Cigna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$64.57 / $97.72 / $218.78
Cigna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$288.40 / $489.78 / $1,000.00
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$446.68 / $575.44 / $12,882.50
Kaiser Permanente
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$81.28 / $100.00 / $12,882.50
Kaiser Permanente
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$371.54 / $489.78 / $12,882.50
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$338.84 / $501.19 / $912.01
United
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$58.88 / $85.11 / $147.91
United
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$275.42 / $426.58 / $776.25
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$416.87 / $537.03 / $741.31
Wellpoint
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$75.86 / $97.72 / $125.89
Wellpoint
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$338.84 / $446.68 / $616.60