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Maine rates for HCPCS 36902

Intro Cath Dialysis Circuit W/Trluml Balo Angiop

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6,865.51 / $17,356.75 / $17,356.75
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$198.15 / $444.32 / $1,993.56
Aetna
Facility/Professional
Professional
Modifier
52
Low / Median / High Price
$123.47 / $182.06 / $996.78
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$289.86 / $507.69 / $1,916.98
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$298.72 / $507.18 / $2,233.81
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$259.58 / $512.86 / $1,872.26
Martin's Point
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6,865.51 / $6,865.51 / $17,356.75
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$207.00 / $427.86 / $2,068.05
Martin's Point
Facility/Professional
Professional
Modifier
52
Low / Median / High Price
$123.47 / $182.06 / $996.78
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,230.44 / $1,665.21 / $2,420.34