- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $30.20 / $426.58 / $524.81
| Facility | | $30.20 | $426.58 | $524.81 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $30.20 / $57.54 / $645.65
| Professional | | $30.20 | $57.54 | $645.65 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $204.17 / $288.40 / $457.09
| Professional | | $204.17 | $288.40 | $457.09 |
- 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
- $229.09 / $323.59 / $478.63
| Professional | | $229.09 | $323.59 | $478.63 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $446.68 / $446.68 / $446.68
| Facility | | $446.68 | $446.68 | $446.68 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $109.65 / $489.78 / $870.96
| Professional | | $109.65 | $489.78 | $870.96 |
Johns Hopkins Employer Health Plan - Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $363.08 / $363.08 / $363.08
| Facility | | $363.08 | $363.08 | $363.08 |
Johns Hopkins Employer Health Plan - Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $251.19 / $331.13 / $446.68
| Professional | | $251.19 | $331.13 | $446.68 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $47.86 / $389.05 / $501.19
| Facility | | $47.86 | $389.05 | $501.19 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $41.69 / $416.87 / $676.08
| Professional | | $41.69 | $416.87 | $676.08 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $5.01 / $10.00 / $81.28
| Professional | | $5.01 | $10.00 | $81.28 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $39.81 / $57.54 / $79.43
| Professional | | $39.81 | $57.54 | $79.43 |