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Maine rates for HCPCS 36904

Perq Thrmbc/Nfs Dialysis Circuit Img Dx Angrph

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$325.93 / $563.11 / $2,950.33
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$443.93 / $779.27 / $2,870.74
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$459.01 / $776.82 / $3,344.15
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$398.44 / $787.22 / $2,803.77
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$325.93 / $563.11 / $2,950.33
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,792.68 / $2,466.17 / $3,274.16