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Maryland rates for HCPCS 43772

Laps Gastric Restrictive Px Remove Device

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6,119.57 / $6,119.57 / $6,119.57
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$582.00 / $629.00 / $4,371.00
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$933.58 / $1,153.00 / $1,638.00
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,028.00 / $1,347.00 / $3,219.00