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Maine rates for HCPCS 43830

Gastrostomy, open; without construction of gastric tube (eg, Stamm procedure) (separate procedure)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$841.45 / $841.45 / $8,468.02
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$699.00 / $699.00 / $799.48
Cigna
Facility/Professional
Facility
Modifier
AS
Low / Median / High Price
$79.00 / $79.00 / $79.00
Martin's Point
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8,468.02 / $8,468.02 / $8,468.02