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Maine rates for HCPCS 33974

Removal of intra-aortic balloon assist device from the ascending aorta, including repair of the ascending aorta, with or without graft

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$994.81 / $1,330.02 / $1,330.02
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$925.17 / $1,143.40 / $1,675.38
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,092.94 / $1,330.02 / $1,878.68
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$980.55 / $1,091.51 / $1,698.39
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$994.81 / $1,330.02 / $1,330.02
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$915.76 / $1,262.88 / $1,615.18