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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
$25.18 / $39.17 / $46.95
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$41.66 / $41.66 / $41.66
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$49.34 / $63.65 / $94.31
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$31.84 / $52.06 / $221.90
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$39.47 / $56.74 / $70.11