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Maine rates for HCPCS 49606

Rpr Lg Omphalocele/Gastroschisis Rmvl Prosth

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,137.33 / $1,355.09 / $1,471.60
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
$1,305.91 / $1,536.37 / $2,342.78
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$699.00 / $699.00 / $1,294.96
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,081.42 / $1,636.87 / $2,464.79
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,270.86 / $1,636.77 / $2,561.28
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,137.33 / $1,355.09 / $1,795.07
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,107.55 / $1,563.62 / $2,428.00