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Maine rates for HCPCS 39503

Rpr Neonatal Diphrg Hernia W/Wo Chest Tube Insj

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5,429.53 / $7,429.43 / $8,468.26
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$20,409.70 / $26,469.21 / $29,847.38
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6,925.22 / $7,799.42 / $11,854.64
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6,428.92 / $8,696.29 / $12,165.78
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6,342.50 / $8,168.61 / $12,531.08
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5,847.77 / $7,429.43 / $7,429.43
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6,056.42 / $8,665.64 / $12,686.47