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Maine rates for HCPCS 43502

Gastrotomy W/Sutr Rpr Pre-Esopg/Gastric Lac

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,527.03 / $1,821.93 / $1,885.76
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
$1,587.25 / $2,054.09 / $3,140.10
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$699.00 / $699.00 / $1,739.15
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,304.17 / $2,196.77 / $3,307.88
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,703.38 / $2,193.81 / $3,432.94
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,527.03 / $1,821.93 / $3,551.27
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,489.23 / $2,126.96 / $3,198.19