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Maine rates for HCPCS 43887

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

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$326.98 / $394.07 / $399.77
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$340.53 / $445.48 / $695.60
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$379.05 / $379.05 / $456.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$324.23 / $484.17 / $717.78
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$377.34 / $485.97 / $760.47
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$326.98 / $394.07 / $797.78
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$317.33 / $449.57 / $664.63