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Maryland rates for HCPCS 48540

Internal anastomosis of pancreatic cyst to gastrointestinal tract; Roux-en-Y

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,207.26 / $1,490.74 / $1,955.79
CareFirst
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,309.29 / $1,454.77 / $1,993.03
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
$1,143.70 / $1,565.17 / $2,903.96
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,284.53 / $1,632.28 / $2,209.23
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$303.00 / $413.00 / $1,109.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,085.19 / $1,496.74 / $2,903.68
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,060.50 / $1,581.20 / $1,926.80