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Maryland rates for HCPCS 81504

Oncology Tissue Of Origin Similar Scor Algorithm

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$384.80 / $390.00 / $390.00
CareFirst
Facility/Professional
Professional
Modifier
Low / Median / High Price
$416.00 / $468.00 / $533.52
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$284.73 / $369.73 / $1,502.00
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$520.00 / $624.00 / $780.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$218.40 / $234.00 / $468.00
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$260.00 / $260.00 / $260.00