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Maryland rates for HCPCS 89264

Sprm Id From Tstis Tiss Frsh/Cryoprsrvd

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$299.83 / $299.83 / $299.83
CareFirst
Facility/Professional
Professional
Modifier
Low / Median / High Price
$38.07 / $42.70 / $63.92
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$109.45 / $109.45 / $136.81
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$505.00 / $838.00 / $838.00
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$108.00 / $424.00 / $424.00