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Maine rates for HCPCS 43659

Unlisted Laparoscopy Procedure Stomach

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,057.36 / $3,057.36 / $10,839.48
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$699.00 / $699.00 / $699.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5,472.96 / $6,557.22 / $17,232.93
Martin's Point
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,057.36 / $3,057.36 / $10,839.48