go back

Maine rates for HCPCS 47721

Cholecystoenterostomy W/Gastroenterostomy

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,353.07 / $1,621.84 / $1,668.71
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
$1,419.50 / $1,837.01 / $2,789.90
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$699.00 / $699.00 / $1,541.29
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,156.92 / $1,959.09 / $2,949.98
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,513.42 / $1,949.15 / $3,050.10
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,353.07 / $1,621.84 / $3,161.52
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,342.84 / $1,956.95 / $2,932.35