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Maryland rates for HCPCS Q4112

Cymetra, injectable, 1 cc

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$915.68 / $915.68 / $915.68
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$880.80 / $915.68 / $915.68
CareFirst
Facility/Professional
Professional
Modifier
Low / Median / High Price
$403.61 / $403.61 / $403.61
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$361.18 / $361.18 / $872.08
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$872.08 / $872.08 / $1,110.67
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$689.00 / $834.00 / $896.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$872.08 / $872.08 / $920.04
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$754.72 / $754.72 / $754.72