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Maryland rates for HCPCS 43621

Gastrectomy, total; with Roux-en-Y reconstruction

Insurance Carrier
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$582.00 / $629.00 / $2,589.94
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,221.26 / $2,739.44 / $3,811.39
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$303.00 / $362.00 / $1,109.00