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Maryland rates for HCPCS 43775

Laps Gstrc Rstrictiv Px Longitudinal Gastrectomy

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,572.84 / $6,216.68 / $10,069.50
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$582.00 / $629.00 / $15,735.00
Cigna
Facility/Professional
Facility
Modifier
AS
Low / Median / High Price
$123.14 / $123.14 / $123.14
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,067.34 / $1,363.83 / $1,897.50
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,541.00 / $2,139.00 / $6,125.00