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Maryland rates for HCPCS 43771

Laps Gastric Restrictive Px Revision Device

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,200.89 / $1,460.36 / $2,153.02
CareFirst
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,343.91 / $1,343.91 / $1,841.16
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$582.00 / $629.00 / $4,371.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,126.51 / $1,554.81 / $2,964.72
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,255.09 / $1,549.75 / $2,193.19
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,028.00 / $1,347.00 / $3,219.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,059.25 / $1,404.70 / $2,638.01
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,028.04 / $1,549.75 / $1,889.22