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Maine rates for HCPCS 43284

Laparoscopy, surgical, esophageal sphincter augmentation procedure, placement of sphincter augmentation device (ie, magnetic band), including cruroplasty when performed

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$602.56 / $724.44 / $1,230.27
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$602.56 / $954.99 / $1,548.82
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$691.83 / $691.83 / $1,122.02
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$549.54 / $954.99 / $1,584.89
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$758.58 / $1,122.02 / $1,949.84
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$630.96 / $851.14 / $1,737.80
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$660.69 / $912.01 / $1,445.44