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Maine rates for HCPCS C9777

Esophag muc integ w/eso egd

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8,057.17 / $8,057.17 / $8,057.17
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$699.00 / $699.00 / $699.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$662.70 / $662.70 / $662.70
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$14,554.18 / $14,554.18 / $14,554.18