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Maine rates for HCPCS 33959

Ecmo/Ecls Repos Perph Cannula Open Birth-5 Yrs

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$243.28 / $338.68 / $349.18
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$241.79 / $295.77 / $444.67
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$294.17 / $349.18 / $488.00
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$253.66 / $282.36 / $439.35
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$243.28 / $338.68 / $349.18
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$277.91 / $365.50 / $440.33