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Maine rates for HCPCS 43886

Gastric restrictive procedure, open; revision of subcutaneous port component only

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$338.84 / $380.19 / $741.31
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$309.03 / $537.03 / $870.96
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$457.09 / $457.09 / $616.60
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$309.03 / $478.63 / $891.25
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$446.68 / $645.65 / $1,174.90
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$346.74 / $501.19 / $1,174.90
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$346.74 / $501.19 / $831.76