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Maryland rates for HCPCS 21743

Reconstructive repair of pectus excavatum or carinatum; minimally invasive approach (Nuss procedure), with thoracoscopy

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,340.40 / $1,581.23 / $4,061.92
CareFirst
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,350.00 / $1,350.00 / $1,714.50
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$507.00 / $507.00 / $518.54
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,333.90 / $2,076.63 / $4,221.00
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,656.24 / $2,142.51 / $3,278.50
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$774.00 / $847.00 / $1,560.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,059.57 / $1,591.83 / $3,028.41
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$956.80 / $956.80 / $956.80