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Maryland rates for HCPCS 43653

Laps Surg Gastrostomy W/O Constj Gstr Tube Spx

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$827.81 / $4,219.75 / $7,452.05
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,335.00 / $2,957.55 / $5,067.22
Cigna
Facility/Professional
Facility
Modifier
AS
Low / Median / High Price
$65.17 / $65.17 / $65.17
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$574.35 / $736.45 / $1,023.87
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,541.00 / $2,139.00 / $6,125.00