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Maryland rates for HCPCS G0288

Reconstruction, computed tomographic angiography of aorta for surgical planning for vascular surgery

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$25.70 / $38.02 / $128.82
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$41.69 / $41.69 / $51.29
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$48.98 / $56.23 / $85.11
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$31.62 / $54.95 / $323.59
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$50.12 / $64.57 / $72.44