go back

Maine rates for HCPCS 49062

Drg Xtraperitoneal Lymphocele Periton Cavity Opn

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$756.78 / $918.38 / $930.47
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$12,224.20 / $16,010.56 / $18,053.93
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$848.78 / $1,020.38 / $1,591.89
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$699.00 / $699.00 / $876.60
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$716.81 / $1,110.39 / $1,646.13
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$863.54 / $1,112.17 / $1,740.36
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$756.78 / $918.38 / $1,807.05
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$747.91 / $1,064.54 / $1,506.85