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Maine rates for HCPCS 33692

Compl Rpr Tetralogy Fallot W/O Pulm Atresia

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,768.71 / $2,919.18 / $2,919.18
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,022.94 / $2,486.30 / $3,693.88
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,260.94 / $2,919.18 / $4,085.94
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,132.19 / $2,373.44 / $3,693.09
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,752.73 / $1,838.33 / $2,919.18
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,057.32 / $2,910.76 / $3,702.91