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Maine rates for HCPCS 38200

Injection procedure for splenoportography

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$114.82 / $134.90 / $194.98
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$109.65 / $186.21 / $302.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$158.49 / $190.55 / $309.03
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$131.83 / $165.96 / $309.03
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$120.23 / $147.91 / $436.52
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$134.90 / $181.97 / $309.03