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Maryland rates for HCPCS A4322

Irrigation Syringe Bulb Or Piston Each (Special Coverage Instructions Apply. See Mcm: 2130)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.72 / $1.72 / $1.72
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.00 / $2.70 / $3.95
CareFirst
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.35 / $2.35 / $2.35
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.18 / $2.18 / $2.18
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.13 / $5.37 / $6.56
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.81 / $2.12 / $3.27
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.88 / $1.88 / $3.62