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Maryland rates for HCPCS 43122

Prtl Esophg Thoracoabd W/Wo Proxgastrec/Pyloropl

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,400.04 / $2,889.39 / $6,359.99
CareFirst
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,575.00 / $2,850.23 / $3,904.82
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$582.00 / $629.00 / $2,910.22
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,169.23 / $3,080.05 / $5,598.96
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,507.27 / $3,083.75 / $4,290.43
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$303.00 / $362.00 / $1,109.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,113.17 / $2,876.83 / $4,934.14
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,072.92 / $3,083.75 / $3,760.90