- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $42.13 / $100.33 / $217.30
| Facility | | $42.13 | $100.33 | $217.30 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $40.28 / $42.13 / $84.26
| Professional | | $40.28 | $42.13 | $84.26 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $35.81 / $42.13 / $117.44
| Facility | | $35.81 | $42.13 | $117.44 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $32.86 / $32.86 / $40.44
| Professional | | $32.86 | $32.86 | $40.44 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $27.38 / $54.26 / $122.37
| Facility | | $27.38 | $54.26 | $122.37 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $20.04 / $48.40 / $66.67
| Professional | | $20.04 | $48.40 | $66.67 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $19.38 / $24.86 / $57.04
| Professional | | $19.38 | $24.86 | $57.04 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $58.28 / $80.58 / $169.11
| Facility | | $58.28 | $80.58 | $169.11 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $25.28 / $33.70 / $33.70
| Professional | | $25.28 | $33.70 | $33.70 |
Johns Hopkins Employer Health Plan - Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $50.12 / $50.12 / $50.12
| Professional | | $50.12 | $50.12 | $50.12 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $42.13 / $96.90 / $197.17
| Facility | | $42.13 | $96.90 | $197.17 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $42.13 / $42.13 / $84.26
| Professional | | $42.13 | $42.13 | $84.26 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $819.61 / $881.56 / $1,109.06
| Facility | | $819.61 | $881.56 | $1,109.06 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $27.38 / $54.76 / $140.16
| Facility | | $27.38 | $54.76 | $140.16 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $20.04 / $48.40 / $60.50
| Professional | | $20.04 | $48.40 | $60.50 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $42.13 / $42.13 / $42.13
| Facility | | $42.13 | $42.13 | $42.13 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $37.07 / $42.13 / $42.13
| Professional | | $37.07 | $42.13 | $42.13 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $17.69 / $25.28 / $65.30
| Professional | | $17.69 | $25.28 | $65.30 |