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Maine rates for HCPCS 43634

Gstrct Prtl Dstl W/Frmj Intstinal Pouch

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,120.75 / $2,538.11 / $2,622.25
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
$2,217.82 / $2,870.13 / $4,359.28
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$699.00 / $699.00 / $2,420.59
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,677.93 / $3,050.54 / $4,593.47
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,364.73 / $3,045.58 / $4,765.82
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,120.75 / $2,538.11 / $4,921.92
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,041.69 / $2,960.45 / $4,455.35