go back

Monitoring Donor Lungs On A Perfusion Machine

Maine rates for HCPCS 0495T

A clinician starts up and then monitors a circuit that keeps donor lungs warm, ventilated and perfused outside the body, assessing how well they work. Pressures, flows, gas exchange and lung stiffness are measured and recorded, and examinations such as a scope inspection of the airways or an X-ray may be done as part of the assessment. This covers the initial period of that monitoring.

Rates data updated July 2026.

How much does Monitoring Donor Lungs On A Perfusion Machine cost?

$407

Typical physician fee. In Maine, July 2026.

Insurers have agreed to pay about $407 for this service. Most negotiated rates run $355 to $525.

These are rates insurers have negotiated with providers, not the amount a patient is billed. What you owe depends on your plan's deductible and coinsurance. Based on rates published by 5 insurance carriers under federal price transparency rules.

How much rates vary

Professionalmedian $407 · 10th to 90th $324 to $661
$500$1Kprofessional $407

Distribution of negotiated rates across all payers (price axis is log-scale). Each curve is scaled to its own total: facility and professional rates are different services, shown together to compare where they cluster. Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Professional
Modifier
Global
Typical Low
$316.23
Median
$323.59
Typical High
$338.84
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$302.00
Median
$354.81
Typical High
$575.44
Harvard Pilgrim
Setting
Professional
Modifier
Global
Typical Low
$398.11
Median
$478.63
Typical High
$812.83
Martin's Point
Setting
Professional
Modifier
Global
Typical Low
$316.23
Median
$323.59
Typical High
$338.84
United
Setting
Professional
Modifier
Global
Typical Low
$398.11
Median
$478.63
Typical High
$776.25

Where Maine sits

The same service costs 14.8 times more in Colorado than in North Dakota. Every bar is a state, most expensive first. Touch or drag across it to read any state, then open that state for its carriers and full range.

Maine· 20th of 51

$407

CO $3,311ND $224

Median negotiated rate in each state, from every insurer that publishes one. States where no insurer publishes a rate for this service are not shown.