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Maryland rates for HCPCS 42955

Pharyngostomy Fstlj Pharynx Xtrnl Feeding

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$707.42 / $867.26 / $1,149.89
CareFirst
Facility/Professional
Professional
Modifier
Low / Median / High Price
$742.59 / $848.93 / $1,315.84
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$525.00 / $693.21 / $1,164.58
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$625.80 / $920.39 / $1,708.47
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$715.10 / $925.42 / $1,327.96
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$418.00 / $453.00 / $1,330.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$637.02 / $875.91 / $1,542.01
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$620.21 / $904.96 / $1,117.51