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Maine rates for HCPCS 33764

Shunt Central W/Prosthetic Graft

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,176.33 / $1,176.33 / $1,967.50
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,367.45 / $1,693.94 / $2,484.29
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,611.72 / $1,967.50 / $2,772.82
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,452.69 / $1,617.06 / $2,516.15
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,176.33 / $1,390.59 / $1,967.50
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,337.87 / $1,854.81 / $2,238.57