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Maine rates for HCPCS 47741

Cholecstontrstm Roux-En-Y W/Gastrontrstm

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,475.91 / $1,766.66 / $1,820.69
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
$1,542.88 / $1,996.67 / $3,036.33
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$699.00 / $699.00 / $1,679.11
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,261.57 / $2,132.67 / $3,211.36
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,647.09 / $2,121.32 / $3,319.50
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,475.91 / $1,766.66 / $3,438.97
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,394.36 / $2,052.00 / $2,882.72