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Maine rates for HCPCS 39541

Rpr Diphrg Hrna Oth/Thn Neonatal Traumtc Chrnc

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$915.00 / $1,187.07 / $1,187.07
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
$1,115.07 / $1,234.66 / $1,948.32
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,055.36 / $1,413.18 / $2,000.15
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,042.39 / $1,342.51 / $2,059.48
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$915.00 / $1,187.07 / $1,187.07
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$975.46 / $1,455.54 / $1,831.66