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Maine rates for HCPCS 42955

Pharyngostomy Fstlj Pharynx Xtrnl Feeding

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$805.87 / $917.15 / $965.52
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$795.79 / $1,029.84 / $1,552.98
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$611.00 / $611.00 / $850.77
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$593.83 / $1,014.96 / $1,676.04
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$842.43 / $1,084.99 / $1,697.81
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$805.87 / $917.15 / $1,820.63
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$770.72 / $1,166.21 / $1,533.16