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Maryland rates for HCPCS 99190

Assembly and operation of pump with oxygenator or heat exchanger (with or without ECG and/or pressure monitoring); each hour

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$403.06 / $426.68 / $446.07
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$379.50 / $525.20 / $1,127.63
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$441.76 / $569.87 / $990.47
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$380.70 / $550.79 / $836.83
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$883.40 / $883.40 / $883.40