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Maine rates for HCPCS 43121

Prtl Esophagec W/Wo Prox Gastrec/Pyloroplasty

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,953.06 / $3,386.30 / $3,670.94
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$20,491.08 / $26,838.03 / $30,263.27
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,963.29 / $3,834.85 / $5,775.06
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$699.00 / $699.00 / $3,227.34
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,154.50 / $4,043.46 / $6,066.56
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,132.74 / $4,034.70 / $6,313.63
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,953.06 / $3,386.30 / $6,511.60
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,540.29 / $4,032.06 / $6,122.57