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Maine rates for HCPCS 33417

Aortoplasty (gusset) for supravalvular stenosis

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,510.53 / $1,776.52 / $2,489.44
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,728.56 / $2,136.54 / $3,140.47
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,048.38 / $2,489.44 / $3,500.67
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,832.24 / $2,039.57 / $3,173.57
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,510.53 / $1,843.87 / $2,489.44
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,764.61 / $2,349.98 / $2,836.19