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Maryland rates for HCPCS 43640

Vgtmy W/Pylorplsty W/Wo Gastrost Truncal/Slctv

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$996.33 / $1,333.05 / $1,745.18
CareFirst
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,309.90 / $1,309.90 / $1,794.56
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
$1,019.91 / $1,417.87 / $2,645.83
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,174.60 / $1,445.56 / $2,011.22
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
$975.57 / $1,311.23 / $2,274.44
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$953.10 / $1,445.56 / $1,761.92