go back

Maine rates for HCPCS 43640

Vgtmy W/Pylorplsty W/Wo Gastrost Truncal/Slctv

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$996.33 / $1,403.31 / $1,409.41
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
$1,233.35 / $1,596.12 / $2,459.52
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$699.00 / $699.00 / $1,357.84
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,036.00 / $1,718.86 / $2,579.42
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,334.19 / $1,718.33 / $2,688.89
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$996.33 / $1,409.41 / $1,458.13
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,150.48 / $1,647.01 / $2,635.54