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Maine rates for HCPCS 43641

Vgtmy W/Pyloroplasty W/Wo Gastrost Parietal Cell

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,198.73 / $1,438.58 / $1,479.20
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
$1,249.59 / $1,617.13 / $2,486.82
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$699.00 / $699.00 / $1,373.52
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,036.00 / $1,738.42 / $2,614.96
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,349.00 / $1,737.40 / $2,718.73
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,198.73 / $1,438.58 / $2,816.70
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,174.09 / $1,664.34 / $2,349.65