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Maine rates for HCPCS 33694

Compl Rpr T-Fallot W/O Pulm Atresia Tanulr Patch

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,887.31 / $2,858.61 / $2,911.51
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,018.01 / $2,484.57 / $3,683.23
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,395.69 / $2,911.51 / $4,078.68
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,130.71 / $2,371.80 / $3,690.52
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,887.31 / $2,160.96 / $2,911.51
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,047.03 / $2,894.08 / $3,702.89