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Maine rates for HCPCS 43249

Egd Balloon Dilation Esophagus <30 Mm Diam

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$613.82 / $1,100.52 / $4,253.39
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$156.18 / $223.47 / $1,689.59
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$186.46 / $411.68 / $2,037.28
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$257.77 / $257.77 / $611.00
Cigna
Facility/Professional
Facility
Modifier
52
Low / Median / High Price
$206.22 / $206.22 / $206.22
Cigna
Facility/Professional
Facility
Modifier
53
Low / Median / High Price
$51.55 / $51.55 / $51.55
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$199.11 / $352.26 / $2,150.48
Community Health Options
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,806.50 / $3,806.50 / $3,806.50
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$187.55 / $638.54 / $2,183.57
Martin's Point
Facility/Professional
Facility
Modifier
Low / Median / High Price
$185.43 / $3,482.30 / $5,250.00
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$180.68 / $280.77 / $1,591.60
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$951.00 / $1,481.73 / $2,191.42