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Maryland rates for HCPCS 0042T

Cerebral perfusion analysis using computed tomography with contrast administration, including post-processing of parametric maps with determination of cerebral blood flow, cerebral blood volume, and mean transit time

Insurance Carrier
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$102.33 / $102.33 / $123.03
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$223.87 / $331.13 / $776.25
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$223.87 / $316.23 / $588.84
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$181.97 / $363.08 / $616.60