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Maine rates for HCPCS 37195

Thrombolysis, cerebral, by intravenous infusion

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.72 / $0.72 / $0.72
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$993.94 / $1,436.07 / $1,436.07
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$864.13 / $1,382.50 / $1,731.99
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$349.30 / $1,378.30 / $1,864.16
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$881.31 / $981.04 / $1,526.50
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$993.94 / $1,436.07 / $1,436.07
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$397.44 / $464.31 / $981.04