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Maine rates for HCPCS 21743

Reconstructive repair of pectus excavatum or carinatum; minimally invasive approach (Nuss procedure), with thoracoscopy

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$9,904.66 / $9,904.66 / $9,904.66
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,391.57 / $1,485.27 / $1,998.00
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,795.12 / $2,029.81 / $2,801.32
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,561.96 / $2,337.69 / $3,419.39
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,970.32 / $2,279.66 / $3,497.12
Martin's Point
Facility/Professional
Facility
Modifier
Low / Median / High Price
$9,904.66 / $9,904.66 / $9,904.66
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,391.57 / $1,505.37 / $1,998.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,358.64 / $1,697.23 / $3,160.20