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Maryland rates for HCPCS 42890

Limited Pharyngectomy

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,727.94 / $1,727.94 / $1,727.94
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,136.00 / $3,018.07 / $4,939.00
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,387.07 / $1,704.02 / $2,500.44
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,236.00 / $1,679.00 / $3,590.00