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Maine rates for HCPCS 43313

Esphgp Cgen Dfct Thrc Appr W/O Rpr Fstl

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,874.82 / $3,239.17 / $3,568.11
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
$3,147.52 / $3,826.22 / $5,968.24
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$699.00 / $699.00 / $3,301.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,582.16 / $4,163.76 / $6,172.70
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,237.53 / $4,169.67 / $6,524.82
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,874.82 / $3,239.17 / $6,752.73
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,656.88 / $3,857.26 / $5,631.36