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Maine rates for HCPCS 38101

Splenectomy Partial Separate Procedure

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,191.68 / $1,191.68 / $1,362.86
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$12,224.20 / $16,010.56 / $18,053.93
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,154.60 / $1,535.86 / $2,398.54
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$699.00 / $699.00 / $1,325.54
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,036.00 / $1,674.82 / $2,521.92
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,300.11 / $1,674.45 / $2,620.23
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,191.68 / $1,191.68 / $1,362.86
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,136.20 / $1,620.33 / $2,260.16