go back

Maine rates for HCPCS 43405

Ligation or stapling at gastroesophageal junction for pre-existing esophageal perforation

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,548.02 / $1,727.52 / $1,907.64
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
$1,514.75 / $1,960.26 / $2,970.81
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$699.00 / $699.00 / $1,648.58
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,235.82 / $2,076.89 / $3,127.37
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,611.55 / $2,075.53 / $3,247.86
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,548.02 / $1,727.52 / $3,363.38
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,368.19 / $2,046.25 / $3,123.43