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Maine rates for HCPCS 0416T

Relocation of skin pocket for implanted cardiac contractility modulation pulse generator

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$316.23 / $436.52 / $549.54
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$316.23 / $436.52 / $549.54
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$436.52 / $524.81 / $676.08
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$302.00 / $436.52 / $489.78
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$446.68 / $616.60 / $776.25