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Maine rates for HCPCS 33504

Rpr Anom Coronary Art Pulm Art Origin Grf W/Byp

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,604.96 / $2,189.17 / $2,189.17
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,521.36 / $1,883.08 / $2,761.20
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,801.11 / $2,189.17 / $3,082.96
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,614.88 / $1,797.60 / $2,797.07
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,604.96 / $2,189.17 / $2,189.17
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,460.69 / $2,065.51 / $2,492.86