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Maine rates for HCPCS 76975

Gi Endoscopic Us S&I

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$171.94 / $258.07 / $276.20
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$238.82 / $329.88 / $541.40
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$259.49 / $305.29 / $478.16
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$109.23 / $109.23 / $109.23
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$103.00 / $135.94 / $214.93
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$71.31 / $120.77 / $214.35
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$170.05 / $210.68 / $276.20
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$125.53 / $275.85 / $491.14