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Maine rates for HCPCS 48540

Int Anast Pancreatic Cyst Gi Tract Roux-En-Y

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,299.46 / $1,565.62 / $1,604.96
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
$1,438.90 / $1,767.45 / $2,690.25
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$699.00 / $699.00 / $1,489.16
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,118.22 / $1,884.85 / $2,838.20
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,459.35 / $1,879.52 / $2,941.13
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,299.46 / $1,565.62 / $3,042.40
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,279.23 / $1,815.36 / $2,539.41