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Maryland rates for HCPCS 43847

Gastric Rstcv W/Byp W/Sm Int Rcnstj Limit Absrpj

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8,835.98 / $8,835.98 / $8,835.98
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,697.46 / $2,031.55 / $2,671.28
CareFirst
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,812.03 / $2,000.43 / $2,740.59
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
$1,551.69 / $2,160.31 / $4,013.19
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,777.11 / $2,208.44 / $3,046.57
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$303.00 / $362.00 / $1,109.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,482.03 / $2,000.26 / $3,492.46
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,433.37 / $2,187.17 / $2,665.67