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Maryland rates for HCPCS 78121

Red cell volume determination (separate procedure); multiple samplings

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$67.61 / $67.61 / $67.61
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$66.07 / $89.13 / $346.74
CareFirst
Facility/Professional
Professional
Modifier
Low / Median / High Price
$15.14 / $104.71 / $128.82
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$75.86 / $102.33 / $169.82
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$97.72 / $120.23 / $165.96
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$11.48 / $91.20 / $147.91
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$70.79 / $97.72 / $177.83
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$83.18 / $120.23 / $147.91