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Maine rates for HCPCS 45113

Prctect Prtl W/Mucosec Ileoanal Anast Rsvr

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,923.92 / $2,268.42 / $2,452.14
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$9,499.29 / $12,441.62 / $14,029.50
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,009.20 / $2,503.73 / $3,788.60
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$699.00 / $699.00 / $2,108.35
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,651.69 / $2,702.93 / $4,052.95
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,055.17 / $2,646.88 / $4,141.92
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,923.92 / $2,268.42 / $2,452.14
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,904.24 / $2,694.28 / $4,064.48