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Maine rates for HCPCS 0412T

Removal of permanent cardiac contractility modulation system; pulse generator only

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$225.01 / $225.01 / $235.10
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$252.94 / $311.76 / $390.57
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$286.61 / $319.04 / $496.43
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$225.01 / $225.01 / $235.10
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$248.51 / $325.79 / $421.13