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Maine rates for HCPCS 33987

Artery Expos/Graft Artery Perfusion Ecmo/Ecls

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$235.68 / $310.57 / $310.57
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$215.67 / $261.67 / $395.98
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$262.05 / $310.57 / $434.71
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$224.40 / $249.79 / $388.67
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$235.68 / $310.57 / $310.57
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$206.44 / $294.07 / $388.67