go back

Maine rates for HCPCS 0695T

Bdy Surf Activation Mapg Pm/Cvdfb Leads Tm Implt

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$152.68 / $152.68 / $158.40
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$66.45 / $78.18 / $140.97
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$174.78 / $194.56 / $302.74
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$152.68 / $152.68 / $158.40
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$163.16 / $224.43 / $319.06