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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
$799.47 / $799.47 / $835.49
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$359.86 / $523.58 / $628.42
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$410.29 / $456.72 / $710.66
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$799.47 / $799.47 / $835.49
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$730.20 / $1,145.75 / $1,380.82