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Maryland rates for HCPCS 88304

Level III - Surgical pathology, gross and microscopic examination Abortion, induced Abscess Aneurysm - arterial/ventricular Anus, tag Appendix, other than incidental Artery, atheromatous plaque Bartholin's gland cyst Bone fragment(s), other than pathologic fracture Bursa/synovial cyst Carpal tunnel tissue Cartilage, shavings Cholesteatoma Colon, colostomy stoma Conjunctiva - biopsy/pterygium Cornea Diverticulum - esophagus/small intestine Dupuytren's contracture tissue Femoral head, other than fracture Fissure/fistula Foreskin, other than newborn Gallbladder Ganglion cyst Hematoma Hemorrhoids Hydatid of Morgagni Intervertebral disc Joint, loose body Meniscus Mucocele, salivary Neuroma - Morton's/traumatic Pilonidal cyst/sinus Polyps, inflammatory - nasal/sinusoidal Skin - cyst/tag/debridement Soft tissue, debridement Soft tissue, lipoma Spermatocele Tendon/tendon sheath Testicular appendage Thrombus or embolus Tonsil and/or adenoids Varicocele Vas deferens, other than sterilization Vein, varicosity

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$86.20 / $99.18 / $99.59
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.78 / $38.31 / $174.38
Aetna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$6.97 / $12.61 / $54.91
Aetna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$21.77 / $30.80 / $145.44
CareFirst
Facility/Professional
Professional
Modifier
Low / Median / High Price
$41.32 / $41.32 / $52.89
CareFirst
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$12.56 / $12.75 / $29.94
CareFirst
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$25.71 / $28.57 / $37.35
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$18.32 / $25.86 / $76.26
Cigna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$0.13 / $6.09 / $17.73
Cigna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$0.37 / $18.98 / $54.92
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$44.37 / $53.24 / $72.69
Kaiser Permanente
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$11.17 / $13.52 / $24.54
Kaiser Permanente
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$33.20 / $40.28 / $54.30
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$29.87 / $43.17 / $75.34
United
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$7.05 / $9.49 / $22.00
United
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$21.95 / $30.24 / $71.28
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$40.64 / $55.64 / $63.02
Wellpoint
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$11.42 / $13.52 / $16.20
Wellpoint
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$29.22 / $42.11 / $47.61