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Maine rates for HCPCS 43847

Gastric Rstcv W/Byp W/Sm Int Rcnstj Limit Absrpj

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,797.74 / $2,157.57 / $2,220.23
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
$1,879.45 / $2,432.23 / $3,721.71
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$699.00 / $699.00 / $2,060.11
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,628.00 / $2,604.85 / $3,922.36
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,018.88 / $2,600.14 / $4,068.78
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,797.74 / $2,157.57 / $4,210.39
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,762.07 / $2,487.78 / $3,526.10