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Maryland rates for HCPCS 50688

Chng Urtrost Tube/Xtrnlly Accessible Stent Ileal

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,064.57 / $1,064.57 / $1,064.57
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$78.15 / $83.98 / $357.12
CareFirst
Facility/Professional
Professional
Modifier
Low / Median / High Price
$66.00 / $85.94 / $97.69
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,012.19 / $1,012.19 / $1,012.19
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$79.18 / $113.67 / $245.40
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$80.66 / $107.28 / $169.39
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$69.09 / $101.45 / $188.51
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$63.40 / $92.76 / $115.34