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Maryland rates for HCPCS Q2004

Bladder Calculi Irrig Sol

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$103.22 / $103.22 / $103.22
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$103.22 / $103.22 / $120.95
CareFirst
Facility/Professional
Professional
Modifier
Low / Median / High Price
$101.27 / $101.27 / $101.27
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$14.99 / $17.41 / $22.49
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$101.19 / $101.19 / $121.43