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Maine rates for HCPCS 49452

Replacement Gastro-Jejunostomy Tube Percutaneous

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,223.47 / $1,223.47 / $1,384.11
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$130.28 / $779.08 / $1,067.03
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$164.45 / $326.33 / $1,253.81
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$230.35 / $230.35 / $699.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$172.92 / $370.68 / $1,706.54
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$164.88 / $561.37 / $1,572.11
Martin's Point
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,223.47 / $1,223.47 / $1,384.11
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$145.16 / $329.73 / $1,336.24
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$700.72 / $1,231.05 / $1,873.03