- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $31.62 / $389.05 / $912.01
| Facility | | $31.62 | $389.05 | $912.01 |
- Facility/Professional
- Facility
- Modifier
- QK
- Low / Median / High Price
- $95.50 / $147.91 / $204.17
| Facility | QK | $95.50 | $147.91 | $204.17 |
- Facility/Professional
- Facility
- Modifier
- QX
- Low / Median / High Price
- $263.03 / $446.68 / $933.25
| Facility | QX | $263.03 | $446.68 | $933.25 |
- Facility/Professional
- Facility
- Modifier
- QY
- Low / Median / High Price
- $190.55 / $194.98 / $338.84
| Facility | QY | $190.55 | $194.98 | $338.84 |
- Facility/Professional
- Facility
- Modifier
- QZ
- Low / Median / High Price
- $912.01 / $912.01 / $977.24
| Facility | QZ | $912.01 | $912.01 | $977.24 |
- Facility/Professional
- Professional
- Modifier
- AA
- Low / Median / High Price
- $239.88 / $831.76 / $1,445.44
| Professional | AA | $239.88 | $831.76 | $1,445.44 |
- Facility/Professional
- Professional
- Modifier
- QK
- Low / Median / High Price
- $169.82 / $309.03 / $549.54
| Professional | QK | $169.82 | $309.03 | $549.54 |
- Facility/Professional
- Professional
- Modifier
- QX
- Low / Median / High Price
- $186.21 / $316.23 / $537.03
| Professional | QX | $186.21 | $316.23 | $537.03 |
- Facility/Professional
- Professional
- Modifier
- QY
- Low / Median / High Price
- $213.80 / $302.00 / $524.81
| Professional | QY | $213.80 | $302.00 | $524.81 |
- Facility/Professional
- Professional
- Modifier
- QZ
- Low / Median / High Price
- $363.08 / $575.44 / $1,047.13
| Professional | QZ | $363.08 | $575.44 | $1,047.13 |
- Facility/Professional
- Professional
- Modifier
- AA
- Low / Median / High Price
- $147.91 / $213.80 / $457.09
| Professional | AA | $147.91 | $213.80 | $457.09 |
- Facility/Professional
- Professional
- Modifier
- QK
- Low / Median / High Price
- $60.26 / $104.71 / $263.03
| Professional | QK | $60.26 | $104.71 | $263.03 |
- Facility/Professional
- Professional
- Modifier
- QX
- Low / Median / High Price
- $58.88 / $81.28 / $269.15
| Professional | QX | $58.88 | $81.28 | $269.15 |
- Facility/Professional
- Professional
- Modifier
- QY
- Low / Median / High Price
- $60.26 / $61.66 / $123.03
| Professional | QY | $60.26 | $61.66 | $123.03 |
- Facility/Professional
- Professional
- Modifier
- QZ
- Low / Median / High Price
- $117.49 / $141.25 / $239.88
| Professional | QZ | $117.49 | $141.25 | $239.88 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $61.66 / $61.66 / $61.66
| Facility | | $61.66 | $61.66 | $61.66 |
- Facility/Professional
- Facility
- Modifier
- QK
- Low / Median / High Price
- $30.90 / $30.90 / $30.90
| Facility | QK | $30.90 | $30.90 | $30.90 |
- Facility/Professional
- Facility
- Modifier
- QX
- Low / Median / High Price
- $30.90 / $30.90 / $30.90
| Facility | QX | $30.90 | $30.90 | $30.90 |
- Facility/Professional
- Facility
- Modifier
- QY
- Low / Median / High Price
- $30.90 / $30.90 / $30.90
| Facility | QY | $30.90 | $30.90 | $30.90 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $371.54 / $371.54 / $371.54
| Facility | | $371.54 | $371.54 | $371.54 |
- Facility/Professional
- Professional
- Modifier
- AA
- Low / Median / High Price
- $117.49 / $263.03 / $389.05
| Professional | AA | $117.49 | $263.03 | $389.05 |
- Facility/Professional
- Professional
- Modifier
- QK
- Low / Median / High Price
- $117.49 / $263.03 / $389.05
| Professional | QK | $117.49 | $263.03 | $389.05 |
- Facility/Professional
- Professional
- Modifier
- QX
- Low / Median / High Price
- $117.49 / $263.03 / $389.05
| Professional | QX | $117.49 | $263.03 | $389.05 |
- Facility/Professional
- Professional
- Modifier
- QY
- Low / Median / High Price
- $117.49 / $263.03 / $389.05
| Professional | QY | $117.49 | $263.03 | $389.05 |
- Facility/Professional
- Professional
- Modifier
- QZ
- Low / Median / High Price
- $117.49 / $263.03 / $389.05
| Professional | QZ | $117.49 | $263.03 | $389.05 |
- Facility/Professional
- Facility
- Modifier
- QZ
- Low / Median / High Price
- $61.66 / $61.66 / $61.66
| Facility | QZ | $61.66 | $61.66 | $61.66 |
- Facility/Professional
- Professional
- Modifier
- AA
- Low / Median / High Price
- $363.08 / $446.68 / $851.14
| Professional | AA | $363.08 | $446.68 | $851.14 |
- Facility/Professional
- Professional
- Modifier
- QK
- Low / Median / High Price
- $371.54 / $478.63 / $630.96
| Professional | QK | $371.54 | $478.63 | $630.96 |
- Facility/Professional
- Professional
- Modifier
- QX
- Low / Median / High Price
- $380.19 / $467.74 / $602.56
| Professional | QX | $380.19 | $467.74 | $602.56 |
- Facility/Professional
- Professional
- Modifier
- QY
- Low / Median / High Price
- $363.08 / $467.74 / $630.96
| Professional | QY | $363.08 | $467.74 | $630.96 |
- Facility/Professional
- Professional
- Modifier
- QZ
- Low / Median / High Price
- $302.00 / $380.19 / $478.63
| Professional | QZ | $302.00 | $380.19 | $478.63 |
Johns Hopkins Employer Health Plan - Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $302.00 / $302.00 / $302.00
| Facility | | $302.00 | $302.00 | $302.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $31.62 / $323.59 / $912.01
| Facility | | $31.62 | $323.59 | $912.01 |
- Facility/Professional
- Facility
- Modifier
- QK
- Low / Median / High Price
- $95.50 / $147.91 / $204.17
| Facility | QK | $95.50 | $147.91 | $204.17 |
- Facility/Professional
- Facility
- Modifier
- QX
- Low / Median / High Price
- $263.03 / $446.68 / $933.25
| Facility | QX | $263.03 | $446.68 | $933.25 |
- Facility/Professional
- Facility
- Modifier
- QY
- Low / Median / High Price
- $190.55 / $194.98 / $338.84
| Facility | QY | $190.55 | $194.98 | $338.84 |
- Facility/Professional
- Facility
- Modifier
- QZ
- Low / Median / High Price
- $912.01 / $912.01 / $977.24
| Facility | QZ | $912.01 | $912.01 | $977.24 |
- Facility/Professional
- Professional
- Modifier
- AA
- Low / Median / High Price
- $331.13 / $851.14 / $1,479.11
| Professional | AA | $331.13 | $851.14 | $1,479.11 |
- Facility/Professional
- Professional
- Modifier
- QK
- Low / Median / High Price
- $114.82 / $309.03 / $575.44
| Professional | QK | $114.82 | $309.03 | $575.44 |
- Facility/Professional
- Professional
- Modifier
- QX
- Low / Median / High Price
- $141.25 / $323.59 / $602.56
| Professional | QX | $141.25 | $323.59 | $602.56 |
- Facility/Professional
- Professional
- Modifier
- QY
- Low / Median / High Price
- $218.78 / $302.00 / $575.44
| Professional | QY | $218.78 | $302.00 | $575.44 |
- Facility/Professional
- Professional
- Modifier
- QZ
- Low / Median / High Price
- $302.00 / $562.34 / $1,174.90
| Professional | QZ | $302.00 | $562.34 | $1,174.90 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,737.80 / $1,905.46 / $2,884.03
| Facility | | $1,737.80 | $1,905.46 | $2,884.03 |