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Maine rates for HCPCS 43255

Egd Transoral Control Bleeding Any Method

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$614.04 / $798.25 / $4,562.14
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$243.13 / $299.30 / $949.30
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$243.77 / $536.54 / $1,187.78
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$336.48 / $336.48 / $611.00
Cigna
Facility/Professional
Facility
Modifier
52
Low / Median / High Price
$269.18 / $269.18 / $269.18
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$260.93 / $510.34 / $1,356.74
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$244.43 / $666.07 / $1,293.46
Martin's Point
Facility/Professional
Facility
Modifier
Low / Median / High Price
$614.04 / $3,728.08 / $4,562.14
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$243.13 / $363.27 / $949.30
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,793.98 / $3,793.98 / $3,793.98
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$528.59 / $994.99 / $1,287.75