go back

Maryland rates for HCPCS 45400

Laparoscopy Proctopexy Prolapse

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,268.33 / $6,092.38 / $11,573.49
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$582.00 / $629.00 / $2,530.00
Cigna
Facility/Professional
Facility
Modifier
AS
Low / Median / High Price
$125.90 / $125.90 / $125.90
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,097.36 / $1,344.80 / $1,950.88
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,028.00 / $1,347.00 / $3,219.00