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Maine rates for HCPCS 45800

Closure Rectovesical Fistula

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,097.71 / $1,505.18 / $1,949.55
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$9,499.29 / $12,441.62 / $14,029.50
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,316.34 / $1,703.50 / $2,622.66
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$699.00 / $699.00 / $1,443.76
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,084.36 / $1,839.65 / $2,753.68
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,422.69 / $1,832.31 / $2,867.24
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,097.71 / $1,516.25 / $2,870.10
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,201.24 / $1,692.03 / $2,661.59