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Maryland rates for HCPCS 50400

Pyeloplasty Simple

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,175.88 / $1,249.14 / $3,347.69
CareFirst
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,328.57 / $1,329.89 / $1,520.06
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,121.54 / $1,544.18 / $3,578.21
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,184.31 / $1,575.13 / $2,518.21
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$988.34 / $1,361.43 / $2,340.57
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$922.71 / $1,361.96 / $1,694.21