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Maryland rates for HCPCS 90791

Psychiatric Diagnostic Evaluation

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$80.00 / $224.38 / $1,330.01
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$109.59 / $146.12 / $224.72
Aetna
Facility/Professional
Professional
Modifier
25
Low / Median / High Price
$146.00 / $146.00 / $146.00
CareFirst
Facility/Professional
Professional
Modifier
Low / Median / High Price
$146.43 / $158.44 / $193.30
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$107.00 / $152.44 / $246.70
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$112.76 / $154.79 / $230.72
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$108.50 / $153.03 / $241.02
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$146.63 / $199.49 / $253.41