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Maryland rates for HCPCS 81375

HLA Class II typing, low resolution (eg, antigen equivalents); HLA-DRB1/3/4/5 and -DQB1

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,452.80 / $1,452.80 / $1,452.80
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$163.35 / $165.56 / $226.91
CareFirst
Facility/Professional
Professional
Modifier
Low / Median / High Price
$198.67 / $220.74 / $280.33
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$120.93 / $174.08 / $542.44
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$220.74 / $264.89 / $421.17
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$97.13 / $126.48 / $200.87
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$110.37 / $216.65 / $216.65