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Maryland rates for HCPCS 77404

Radj Dlvr 1 Area 1/Prll Opsd Ports Smpl 11-19Mev

Insurance Carrier
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$210.34 / $261.61 / $421.84
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$111.23 / $158.02 / $173.82