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Maryland rates for HCPCS 43641

Vgtmy W/Pyloroplasty W/Wo Gastrost Parietal Cell

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,113.18 / $1,375.13 / $1,783.65
CareFirst
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,336.53 / $1,336.53 / $1,831.05
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
$1,031.13 / $1,436.32 / $2,676.37
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,187.65 / $1,461.50 / $2,033.39
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
$984.40 / $1,347.02 / $2,461.23
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$963.94 / $1,461.50 / $1,781.48