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Maine rates for HCPCS 43420

Closure of esophagostomy or fistula; cervical approach

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,067.04 / $1,217.27 / $1,289.58
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,052.99 / $1,362.70 / $2,096.35
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$699.00 / $699.00 / $1,158.61
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$888.00 / $1,482.86 / $2,198.32
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,137.19 / $1,464.61 / $2,291.86
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,067.04 / $1,217.27 / $2,427.25
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$989.61 / $1,447.22 / $2,031.60