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Maryland rates for HCPCS 23900

Interthoracoscapular Amputation

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,246.24 / $1,435.55 / $1,561.11
CareFirst
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,440.00 / $1,633.04 / $1,796.34
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$507.00 / $507.00 / $641.21
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,265.89 / $1,842.10 / $3,153.71
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,450.07 / $1,880.95 / $2,442.21
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,003.00 / $1,003.00 / $2,156.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,088.78 / $1,563.69 / $2,883.06
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,271.46 / $1,676.81 / $2,058.52