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Maine rates for HCPCS 43314

Esphgp Cgen Dfct Thrc Appr W/Rpr Fstl

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,650.38 / $3,486.26 / $4,686.35
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
$3,319.76 / $4,093.42 / $6,378.49
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$699.00 / $699.00 / $3,539.93
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,840.99 / $4,463.18 / $6,616.60
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,460.08 / $4,456.30 / $6,973.34
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,914.00 / $3,486.26 / $5,618.45
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,929.63 / $4,359.95 / $6,013.74