go back

Maine rates for HCPCS 0562T

Anatomic guide 3D-printed and designed from image data set(s); each additional anatomic guide (List separately in addition to code for primary procedure)

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$19.44 / $22.47 / $26.00
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$22.59 / $29.28 / $36.68
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$24.32 / $29.27 / $52.79
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$21.41 / $21.70 / $25.12
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$20.85 / $29.52 / $51.92