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Maine rates for HCPCS 35633

Bypass Graft W/Other Than Vein Ilio-Mesenteric

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,216.41 / $4,216.41 / $4,216.41
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$11,010.53 / $14,279.49 / $16,101.93
Martin's Point
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,216.41 / $4,216.41 / $4,216.41