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Maryland rates for HCPCS 01636

Anesthesia for open or surgical arthroscopic procedures on humeral head and neck, sternoclavicular joint, acromioclavicular joint, and shoulder joint; interthoracoscapular (forequarter) amputation

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$977.24 / $977.24 / $1,318.26
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.20 / $50.12 / $1,778.28
CareFirst
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.09 / $4.07 / $5.50
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$724.44 / $1,071.52 / $1,412.54
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$724.44 / $1,000.00 / $1,258.93
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$44.67 / $60.26 / $87.10
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$275.42 / $275.42 / $398.11