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Maryland rates for HCPCS 88311

Decalcification procedure (List separately in addition to code for surgical pathology examination)

Facilitymedian $12 · 10th–90th $10$130%20%40%10th90th$12Professionalmedian $17 · 10th–90th $7$590%10%10th90th$17$0.1$0.5$2.0$10.0$50.0

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$9.77 / $12.02 / $13.18
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$12.88 / $20.42 / $53.70
Aetna
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$8.91 / $25.12 / $63.10
Aetna
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$5.01 / $7.08 / $18.20
CareFirst
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$7.76 / $18.20 / $22.39
CareFirst
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$9.77 / $11.48 / $13.49
CareFirst
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$7.41 / $8.71 / $9.77
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$8.51 / $12.02 / $38.02
Cigna
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$0.14 / $7.08 / $20.89
Cigna
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$0.10 / $5.01 / $16.22
Kaiser Permanente
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$20.89 / $25.12 / $33.11
Kaiser Permanente
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$11.75 / $14.79 / $23.99
Kaiser Permanente
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$8.91 / $10.72 / $16.22
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$12.30 / $17.38 / $38.02
United
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$7.76 / $10.47 / $24.55
United
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$4.57 / $7.24 / $13.49
Wellpoint
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$18.62 / $28.84 / $32.36
Wellpoint
Facility/Professional
Professional
Modifier
26
Typical Low / Median / Typical High
$10.96 / $16.22 / $18.20
Wellpoint
Facility/Professional
Professional
Modifier
TC
Typical Low / Median / Typical High
$7.94 / $12.59 / $14.13