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Maryland rates for HCPCS 50728

Revision of urinary-cutaneous anastomosis (any type urostomy); with repair of fascial defect and hernia

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$746.67 / $749.63 / $3,847.90
CareFirst
Facility/Professional
Professional
Modifier
Low / Median / High Price
$804.28 / $804.28 / $920.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$680.54 / $1,012.23 / $2,263.65
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$723.88 / $962.76 / $1,576.85
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$614.58 / $907.42 / $1,600.36
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$556.38 / $832.46 / $1,034.72