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Maine rates for HCPCS 43882

Revision/Rmvl Gastric Nstim Eltrde Antrum Open

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$491.63 / $914.46 / $914.46
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
$632.22 / $910.02 / $910.02
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$699.00 / $699.00 / $902.24
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$723.10 / $1,170.56 / $1,670.10
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$983.89 / $1,267.17 / $1,982.90
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$491.63 / $914.46 / $914.46
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$686.65 / $1,098.64 / $1,704.16