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Maryland rates for HCPCS 85175

Clot Lysis Time Whole Blood Dilution

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$20.94 / $20.94 / $42.87
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$13.44 / $15.28 / $17.02
CareFirst
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.05 / $12.83 / $16.26
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.03 / $5.84 / $26.36
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.17 / $5.89 / $24.95
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$19.35 / $24.44 / $30.56
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.71 / $9.17 / $12.83
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.94 / $10.19 / $16.19