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Maryland rates for HCPCS 43622

Gstrct Tot W/Frmj Intstinal Pouch Any Type

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,182.46 / $2,625.64 / $5,442.60
CareFirst
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,288.42 / $2,542.69 / $3,483.49
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$582.00 / $629.00 / $2,631.54
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,955.81 / $2,742.03 / $5,105.71
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,261.07 / $2,783.82 / $3,879.53
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
$1,834.54 / $2,551.34 / $4,474.18
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,853.82 / $2,783.82 / $3,391.61