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Maine rates for HCPCS 33767

Shunt Superior Vena Cava Pulm Artery Both Lungs

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,274.58 / $1,362.15 / $2,124.46
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,475.82 / $1,817.44 / $2,681.98
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,749.56 / $2,124.46 / $2,987.17
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,558.59 / $1,734.95 / $2,699.58
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,274.58 / $1,482.43 / $2,124.46
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,415.82 / $2,005.35 / $2,420.25