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Maine rates for HCPCS 47715

Excision Choledochal Cyst

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,300.49 / $1,593.51 / $1,593.51
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
$1,387.40 / $1,795.46 / $2,740.76
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$699.00 / $699.00 / $1,513.73
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,135.63 / $1,924.17 / $2,897.41
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,486.75 / $1,914.81 / $2,996.35
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,300.49 / $1,593.51 / $1,637.51
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,339.08 / $1,857.58 / $2,594.37