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Maine rates for HCPCS 43865

Revision of gastrojejunal anastomosis (gastrojejunostomy) with reconstruction, with or without partial gastrectomy or intestine resection; with vagotomy

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,712.31 / $2,042.30 / $2,115.44
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
$1,782.77 / $2,307.11 / $3,513.50
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$699.00 / $699.00 / $1,948.55
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,462.23 / $2,459.08 / $3,702.87
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,905.93 / $2,454.67 / $3,841.16
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,712.31 / $2,042.30 / $3,971.47
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,670.36 / $2,380.41 / $3,340.72