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Maine rates for HCPCS 33875

Descending thoracic aorta graft, with or without bypass

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,778.28 / $3,311.31 / $5,754.40
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,398.83 / $3,801.89 / $5,888.44
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,290.87 / $3,630.78 / $5,754.40
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,162.28 / $3,801.89 / $4,897.79
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,089.30 / $3,630.78 / $6,918.31
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,290.87 / $3,890.45 / $5,011.87