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Maine rates for HCPCS 43400

Ligation, direct, esophageal varices

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,584.29 / $1,817.93 / $1,924.34
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
$1,595.91 / $2,065.30 / $3,132.58
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$699.00 / $699.00 / $1,734.82
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,484.00 / $2,191.54 / $3,300.00
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,699.31 / $2,188.57 / $3,424.72
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,584.29 / $1,817.93 / $3,542.95
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,458.88 / $2,115.38 / $2,957.41