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Maine rates for HCPCS 49440

Insert Gastrostomy Tube Percutaneous

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$424.31 / $424.31 / $4,589.68
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$204.43 / $832.62 / $1,183.59
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$245.02 / $488.94 / $1,339.65
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$343.38 / $343.38 / $699.00
Cigna
Facility/Professional
Facility
Modifier
52
Low / Median / High Price
$274.70 / $274.70 / $274.70
Cigna
Facility/Professional
Facility
Modifier
53
Low / Median / High Price
$68.68 / $68.68 / $68.68
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$262.50 / $463.10 / $1,820.54
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$247.73 / $837.39 / $1,703.24
Martin's Point
Facility/Professional
Facility
Modifier
Low / Median / High Price
$424.31 / $424.31 / $4,589.68
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$235.09 / $519.69 / $1,513.20
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$958.87 / $1,415.47 / $1,841.03