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Maine rates for HCPCS 45136

Exc Ileoanal Rsvr W/Ileostomy

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,841.14 / $2,170.17 / $2,236.42
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
$1,976.80 / $2,396.38 / $3,627.49
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$699.00 / $699.00 / $2,014.84
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,507.67 / $2,611.79 / $3,892.72
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,967.77 / $2,534.33 / $3,965.78
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,841.14 / $2,170.17 / $4,199.42
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,822.55 / $2,652.42 / $3,888.45