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Maine rates for HCPCS 35122

Dir Rpr Ruptd Aneursm Hepatic/Celiac/Renal/Mesen

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,161.83 / $2,808.36 / $2,808.36
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,953.75 / $2,393.89 / $3,573.20
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,334.42 / $2,808.36 / $3,916.15
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,052.94 / $2,285.23 / $3,555.83
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,161.83 / $2,808.36 / $2,808.36
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,152.54 / $3,045.30 / $3,675.37