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Maryland rates for HCPCS 47701

Portoenterostomy (eg, Kasai procedure)

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,566.79 / $1,934.32 / $2,578.42
CareFirst
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,690.00 / $1,927.12 / $2,640.15
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$582.00 / $629.00 / $2,530.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,515.27 / $2,109.84 / $3,859.69
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,702.26 / $2,164.66 / $2,939.91
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
$1,464.37 / $1,985.39 / $3,674.68
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,377.95 / $2,094.92 / $2,553.39