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Maryland rates for HCPCS 33697

Compl Rpr T-Fallot W/Pulm Atresia

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,893.50 / $2,515.98 / $2,789.53
CareFirst
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,444.96 / $2,635.53 / $3,012.41
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,929.95 / $2,522.60 / $5,189.31
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,111.69 / $2,724.09 / $4,515.30
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,789.77 / $2,437.73 / $4,200.03
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,670.70 / $1,670.70 / $2,961.35