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Maryland rates for HCPCS 21742

Reconstructive repair of pectus excavatum or carinatum; minimally invasive approach (Nuss procedure), without thoracoscopy

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,018.53 / $1,208.01 / $1,257.19
CareFirst
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,215.00 / $1,219.43 / $1,548.68
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$507.00 / $507.00 / $518.54
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,013.53 / $1,578.15 / $3,208.76
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,258.72 / $1,628.29 / $2,491.38
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$847.00 / $847.00 / $1,560.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$816.35 / $1,169.95 / $1,899.15
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$803.78 / $803.78 / $803.78