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Maryland rates for HCPCS L8612

Aqueous Shunt (Special Coverage Instructions Apply. See Mcm: 2130)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,996.21 / $2,225.15 / $3,589.56
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$337.78 / $395.28 / $1,039.02
CareFirst
Facility/Professional
Professional
Modifier
Low / Median / High Price
$495.51 / $495.51 / $506.94
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$451.71 / $451.71 / $451.71
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$383.95 / $383.95 / $451.71
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$519.11 / $741.58 / $1,067.88
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$351.47 / $382.70 / $586.67
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$441.60 / $441.60 / $519.11