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Maine rates for HCPCS 35013

Dir Rpr Ruptd Aneurysm Axil-Brachial Arm Incis

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,407.73 / $1,883.75 / $1,883.75
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,308.50 / $1,539.42 / $2,377.87
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,545.05 / $1,883.75 / $2,636.48
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,289.75 / $1,435.69 / $2,233.92
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,407.73 / $1,883.75 / $1,883.75
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,330.19 / $1,788.39 / $2,312.57