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Maryland rates for HCPCS G0117

Glaucoma Screening For High Risk Patients Furnished By An Optometrist Or Ophthalmologist

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$38.53 / $61.92 / $71.59
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$56.24 / $56.24 / $56.24
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$61.95 / $74.43 / $106.34
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$35.22 / $45.63 / $89.12
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$68.23 / $68.23 / $70.89