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Maryland rates for HCPCS 47715

Excision Choledochal Cyst

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,250.38 / $1,499.70 / $1,977.80
CareFirst
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,280.00 / $1,482.60 / $2,031.16
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
$1,135.63 / $1,591.17 / $2,959.48
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,309.05 / $1,610.78 / $2,256.17
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
$1,072.02 / $1,471.70 / $2,576.39
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,072.02 / $1,610.78 / $1,963.57