go back

Maine rates for HCPCS 0494T

Surgical preparation and cannulation of marginal (extended) cadaver donor lung(s) to ex vivo organ perfusion system, including decannulation, separation from the perfusion system, and cold preservation of the allograft prior to implantation, when performed

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$321.97 / $321.97 / $336.46
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$325.86 / $325.86 / $435.32
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$354.01 / $455.93 / $699.42
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$321.97 / $321.97 / $336.46
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$355.60 / $466.17 / $630.17