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Maryland rates for HCPCS G2004

Post-d/c h vst new pt 60 m

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$135.78 / $147.63 / $191.28
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$141.06 / $141.06 / $141.06
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$109.12 / $160.13 / $240.21
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$132.22 / $169.21 / $332.92
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$130.85 / $184.16 / $232.68