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Maine rates for HCPCS 0572T

Insertion of substernal implantable defibrillator electrode

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$466.78 / $466.78 / $490.32
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$439.75 / $641.16 / $769.55
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$525.83 / $585.32 / $910.76
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$466.78 / $466.78 / $490.32
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$463.20 / $645.54 / $936.63