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Maine rates for HCPCS 49422

Removal of tunneled intraperitoneal catheter

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,370.32 / $5,370.32 / $5,370.32
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$208.93 / $331.13 / $724.44
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$204.17 / $331.13 / $645.65
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$371.54 / $371.54 / $457.09
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$223.87 / $389.05 / $645.65
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$245.47 / $380.19 / $630.96
Martin's Point
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,370.32 / $5,370.32 / $5,370.32
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$218.78 / $380.19 / $831.76
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$223.87 / $363.08 / $588.84