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Maine rates for HCPCS 43122

Prtl Esophg Thoracoabd W/Wo Proxgastrec/Pyloropl

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,606.59 / $3,045.69 / $3,223.99
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
$2,665.02 / $3,448.85 / $5,251.47
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$699.00 / $699.00 / $2,910.22
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,220.00 / $3,674.78 / $5,484.86
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,848.72 / $3,668.90 / $5,741.21
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,606.59 / $3,045.69 / $5,937.30
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,546.67 / $3,668.90 / $4,952.88