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Maine rates for HCPCS 43825

Gastrojejunostomy W/Vagotomy Any Type

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,309.50 / $1,565.79 / $1,616.36
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
$1,366.48 / $1,768.39 / $2,704.59
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$699.00 / $699.00 / $1,494.88
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,120.26 / $1,890.58 / $2,846.83
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,467.13 / $1,889.54 / $2,956.81
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,309.50 / $1,565.79 / $3,061.20
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,278.67 / $1,823.03 / $2,557.34