- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $30.20 / $1,148.15 / $1,412.54
| Facility | | $30.20 | $1,148.15 | $1,412.54 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $30.20 / $61.66 / $1,949.84
| Professional | | $30.20 | $61.66 | $1,949.84 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $549.54 / $776.25 / $1,202.26
| Professional | | $549.54 | $776.25 | $1,202.26 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $61.66 / $61.66 / $61.66
| Facility | | $61.66 | $61.66 | $61.66 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $691.83 / $977.24 / $1,445.44
| Professional | | $691.83 | $977.24 | $1,445.44 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,202.26 / $1,202.26 / $1,202.26
| Facility | | $1,202.26 | $1,202.26 | $1,202.26 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $331.13 / $1,318.26 / $2,290.87
| Professional | | $331.13 | $1,318.26 | $2,290.87 |
Johns Hopkins Employer Health Plan - Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $954.99 / $954.99 / $954.99
| Facility | | $954.99 | $954.99 | $954.99 |
Johns Hopkins Employer Health Plan - Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $676.08 / $870.96 / $1,202.26
| Professional | | $676.08 | $870.96 | $1,202.26 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $47.86 / $1,122.02 / $1,348.96
| Facility | | $47.86 | $1,122.02 | $1,348.96 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $41.69 / $1,122.02 / $1,819.70
| Professional | | $41.69 | $1,122.02 | $1,819.70 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $15.14 / $22.39 / $81.28
| Professional | | $15.14 | $22.39 | $81.28 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $39.81 / $57.54 / $79.43
| Professional | | $39.81 | $57.54 | $79.43 |