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Maine rates for HCPCS 43450

Dilation Esoph Unguided Sound/Bougie 1/Mult Pass

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$207.55 / $982.27 / $3,500.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$85.04 / $143.50 / $248.07
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$96.35 / $169.54 / $284.48
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$133.93 / $133.93 / $456.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$101.84 / $179.23 / $402.47
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$98.10 / $207.37 / $399.08
Martin's Point
Facility/Professional
Facility
Modifier
Low / Median / High Price
$442.05 / $2,472.39 / $3,500.00
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$93.54 / $147.36 / $292.19
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$162.93 / $269.74 / $381.30