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Maine rates for HCPCS 43774

Laps Gastric Restrictive Px Remove Device & Port

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$11,941.35 / $11,941.35 / $18,975.46
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$699.00 / $699.00 / $1,095.64
Cigna
Facility/Professional
Facility
Modifier
AS
Low / Median / High Price
$107.75 / $107.75 / $107.75
Martin's Point
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,560.22 / $4,560.22 / $18,975.46