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Maine rates for HCPCS 38900

Intraoperative identification (eg, mapping) of sentinel lymph node(s) includes injection of non-radioactive dye, when performed (List separately in addition to code for primary procedure)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.94 / $1,650.96 / $4,890.47
Aetna
Facility/Professional
Facility
Modifier
50
Low / Median / High Price
$3,458.76 / $3,936.36 / $5,165.30
Aetna
Facility/Professional
Facility
Modifier
AS
Low / Median / High Price
$0.40 / $0.40 / $0.40
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$123.07 / $140.93 / $205.24
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$162.00 / $181.27 / $280.77
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$170.09 / $207.25 / $291.13
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$152.19 / $196.01 / $300.69
Martin's Point
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.72 / $1,650.96 / $5,172.47
Martin's Point
Facility/Professional
Facility
Modifier
50
Low / Median / High Price
$3,458.76 / $3,936.36 / $5,165.30
Martin's Point
Facility/Professional
Facility
Modifier
AS
Low / Median / High Price
$0.40 / $0.40 / $0.40
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$135.38 / $140.93 / $215.93
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$153.61 / $213.14 / $264.77