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Maryland rates for HCPCS 50540

Symphysiotomy for horseshoe kidney with or without pyeloplasty and/or other plastic procedure, unilateral or bilateral (1 operation)

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,162.77 / $1,211.50 / $6,032.42
CareFirst
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,315.85 / $1,315.85 / $1,520.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,117.38 / $1,533.00 / $3,549.45
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,175.83 / $1,563.87 / $2,499.63
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,019.90 / $1,472.45 / $2,633.09
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$906.25 / $1,352.22 / $1,681.94