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Maine rates for HCPCS 37253

Intravascular ultrasound (noncoronary vessel) during diagnostic evaluation and/or therapeutic intervention, including radiological supervision and interpretation; each additional noncoronary vessel (List separately in addition to code for primary procedure)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,248.07 / $5,248.07 / $5,248.07
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$77.62 / $190.55 / $338.84
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$79.43 / $169.82 / $323.59
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$87.10 / $181.97 / $346.74
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$77.62 / $194.98 / $426.58
Martin's Point
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,248.07 / $5,248.07 / $5,248.07
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$77.62 / $194.98 / $398.11
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$75.86 / $177.83 / $371.54