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Maryland rates for HCPCS 78650

Cerebrospinal Fluid Leak Detection&Localizatio

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$224.82 / $224.82 / $224.82
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$217.80 / $246.22 / $355.23
CareFirst
Facility/Professional
Professional
Modifier
Low / Median / High Price
$334.11 / $371.23 / $419.49
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$195.54 / $332.48 / $735.42
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$240.17 / $326.12 / $555.20
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$208.50 / $275.20 / $489.75
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$202.25 / $252.81 / $358.14