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Maine rates for HCPCS 43771

Laps Gastric Restrictive Px Revision Device

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,278.04 / $1,528.66 / $1,576.18
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$20,209.48 / $26,469.21 / $29,847.38
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,326.44 / $1,716.57 / $2,637.00
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$699.00 / $699.00 / $1,455.76
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,305.40 / $1,847.06 / $2,775.93
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,430.47 / $1,842.33 / $2,882.91
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,278.04 / $1,528.66 / $2,988.60
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,246.57 / $1,778.11 / $2,683.38