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Maine rates for HCPCS 48540

Internal anastomosis of pancreatic cyst to gastrointestinal tract; Roux-en-Y

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,202.26 / $1,479.11 / $2,754.23
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$12,589.25 / $13,489.63 / $18,197.01
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,202.26 / $1,905.46 / $3,090.30
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$691.83 / $691.83 / $2,238.72
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,023.29 / $1,698.24 / $3,019.95
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,479.11 / $2,187.76 / $3,801.89
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,202.26 / $1,949.84 / $4,168.69
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,288.25 / $1,819.70 / $2,884.03