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Maine rates for HCPCS 43124

Tot/Prtl Esphg W/O Rcnstj W/Crv Esophagostomy

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4,044.71 / $4,516.27 / $5,023.39
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
$3,947.06 / $5,107.96 / $7,684.37
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$699.00 / $699.00 / $4,297.76
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,031.74 / $5,383.40 / $8,070.84
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4,168.47 / $5,368.64 / $8,401.01
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4,044.71 / $4,516.27 / $8,659.07
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,611.74 / $5,516.18 / $7,247.04