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Maine rates for HCPCS 43881

Implantation or replacement of gastric neurostimulator electrodes, antrum, open

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$491.63 / $810.21 / $810.21
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
$530.74 / $806.80 / $806.80
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$699.00 / $699.00 / $843.30
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$723.10 / $1,037.89 / $1,475.00
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$839.47 / $1,081.17 / $1,691.84
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$491.63 / $810.21 / $810.21
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$697.32 / $936.37 / $1,425.29