go back

Maryland rates for HCPCS 45800

Closure of rectovesical fistula;

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,090.30 / $3,090.30 / $3,090.30
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,148.15 / $1,412.54 / $2,570.40
CareFirst
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,258.93 / $1,380.38 / $1,995.26
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$575.44 / $602.56 / $2,187.76
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$977.24 / $1,445.44 / $2,511.89
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,071.52 / $1,380.38 / $1,949.84
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$302.00 / $416.87 / $1,202.26
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$977.24 / $1,412.54 / $2,454.71
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$977.24 / $1,584.89 / $1,819.70