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Maryland rates for HCPCS 43634

Gstrct Prtl Dstl W/Frmj Intstinal Pouch

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,008.51 / $2,415.21 / $6,035.19
CareFirst
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,989.41 / $2,353.23 / $3,200.39
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$582.00 / $629.00 / $2,530.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,735.33 / $2,524.51 / $4,700.33
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,080.98 / $2,561.90 / $3,569.34
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
$1,624.29 / $2,304.73 / $4,055.85
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,713.86 / $2,561.90 / $3,121.47