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Maine rates for HCPCS 43325

Esophagogastric fundoplasty, with fundic patch (Thal-Nissen procedure)

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,350.64 / $1,622.61 / $1,667.85
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
$1,419.87 / $1,837.48 / $2,798.78
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$699.00 / $699.00 / $1,547.29
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,160.79 / $1,957.72 / $2,947.92
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,518.23 / $1,955.35 / $3,059.79
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,350.64 / $1,622.61 / $3,167.85
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,325.25 / $1,874.49 / $2,848.30