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Maine rates for HCPCS 0692T

Therapeutic ultrafiltration

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$78.05 / $83.75 / $86.45
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$67.93 / $83.28 / $104.33
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$78.05 / $83.75 / $86.45
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$87.28 / $126.16 / $178.18