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Maine rates for HCPCS 43425

Closure of esophagostomy or fistula; transthoracic or transabdominal approach

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,556.25 / $1,710.55 / $1,918.43
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
$1,500.17 / $1,941.40 / $2,931.89
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$699.00 / $699.00 / $1,630.92
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,257.01 / $2,050.91 / $3,087.43
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,590.44 / $2,048.35 / $3,205.32
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,556.25 / $1,710.55 / $3,314.40
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,400.92 / $2,045.26 / $3,002.67