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Maine rates for HCPCS 0614T

Removal and replacement of substernal implantable defibrillator pulse generator

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$363.08 / $794.33 / $1,000.00
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$302.00 / $338.84 / $630.96
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$457.09 / $549.54 / $933.25
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$363.08 / $794.33 / $912.01
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$524.81 / $1,071.52 / $1,380.38