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Maine rates for HCPCS 0580T

Removal of substernal implantable defibrillator pulse generator only

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$217.20 / $217.20 / $228.11
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$208.58 / $301.95 / $362.45
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$241.44 / $268.75 / $418.18
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$217.20 / $217.20 / $228.11
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$231.81 / $310.74 / $429.66