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Maine rates for HCPCS 33750

Shunt Subclavian Pulmonary Artery

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,485.70 / $1,886.76 / $1,886.76
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,310.63 / $1,615.36 / $2,377.94
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,538.43 / $1,886.76 / $2,654.00
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,385.29 / $1,542.04 / $2,399.41
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,320.10 / $1,485.70 / $1,886.76
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,265.33 / $1,779.18 / $2,300.66