go back

Maine rates for HCPCS 49605

Rpr Lg Omphalocele/Gastroschisis W/Wo Prosth

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4,206.56 / $5,895.76 / $7,070.20
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
$5,141.26 / $6,653.40 / $10,056.50
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$699.00 / $699.00 / $5,597.96
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4,074.81 / $7,038.66 / $10,589.57
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5,455.26 / $7,025.92 / $10,994.37
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4,344.31 / $5,895.76 / $7,712.28
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4,835.92 / $6,912.16 / $10,349.29