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Maryland rates for HCPCS A4301

Implantable Access Total Catheter Port/Reservoir (E.G. Venous Arterial Epidural Or Subarachnoid Peritoneal Etc.) (Updated 01-01-2003)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$105.38 / $105.38 / $882.61
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$21.00 / $34.49 / $34.49
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.02 / $2.02 / $2.02
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$285.00 / $285.00 / $391.00
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$22.73 / $22.73 / $22.73