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Maine rates for HCPCS 43420

Closure of esophagostomy or fistula; cervical approach

Facilitymedian $692 · 10th–90th $692$6,7610%20%40%90th$692Professionalmedian $1,230 · 10th–90th $955$2,3440%20%10th90th$1,230$500.0$1.0K$2.0K$5.0K$10.0K

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Small sample — interpret with caution. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$954.99 / $1,174.90 / $2,041.74
Anthem BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$912.01 / $1,548.82 / $2,398.83
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$691.83 / $691.83 / $691.83
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$794.33 / $1,348.96 / $2,344.23
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1,071.52 / $1,445.44 / $2,511.89
Martin's Point
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$933.25 / $1,148.15 / $1,513.56
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$6,760.83 / $6,760.83 / $6,760.83
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1,023.29 / $1,445.44 / $2,630.27