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Maine rates for HCPCS 43496

Free Jejunum Trsf W/Microvasc Anastomosis

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,374.08 / $2,374.08 / $3,217.50
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$12,224.20 / $16,010.56 / $18,053.93
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,018.51 / $2,043.14 / $2,054.02
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$699.00 / $699.00 / $2,354.05
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,726.86 / $3,243.13 / $4,537.58
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,336.96 / $3,009.81 / $4,709.85
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,374.08 / $2,374.08 / $3,217.50
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,067.30 / $3,162.90 / $4,371.07