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Maryland rates for HCPCS 43774

Laps Gastric Restrictive Px Remove Device & Port

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,097.41 / $1,097.41 / $1,138.50
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$599.00 / $1,966.73 / $3,323.11
Cigna
Facility/Professional
Facility
Modifier
AS
Low / Median / High Price
$107.75 / $107.75 / $107.75
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$948.75 / $1,167.19 / $1,780.23
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,460.00 / $4,549.00 / $10,060.00