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Maine rates for HCPCS 43510

Gstrt W/Esophgl Dilat&Insj Prm Intral Tube

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$976.22 / $1,133.93 / $1,184.23
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$990.59 / $1,281.94 / $1,966.65
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$699.00 / $699.00 / $1,082.58
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$932.97 / $1,373.37 / $2,068.01
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,066.83 / $1,374.00 / $2,150.07
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$976.22 / $1,133.93 / $2,232.17
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$906.71 / $1,314.73 / $2,031.73