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Maine rates for HCPCS 42955

Pharyngostomy (fistulization of pharynx, external for feeding)

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$691.83 / $870.96 / $1,479.11
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$602.56 / $1,096.48 / $1,778.28
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$616.60 / $616.60 / $1,258.93
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$524.81 / $1,000.00 / $1,819.70
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$851.14 / $1,288.25 / $2,187.76
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$707.95 / $1,047.13 / $2,344.23
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$724.44 / $1,071.52 / $1,698.24