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Maine rates for HCPCS 43496

Free jejunum transfer with microvascular anastomosis

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,949.84 / $2,398.83 / $3,467.37
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$12,589.25 / $13,489.63 / $18,197.01
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,023.29 / $2,041.74 / $3,019.95
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$691.83 / $691.83 / $3,311.31
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$616.60 / $3,090.30 / $4,897.79
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,570.40 / $3,715.35 / $6,606.93
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,949.84 / $2,398.83 / $3,235.94
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,995.26 / $2,818.38 / $4,677.35