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Maine rates for HCPCS 61613

Obltrj Carotid Arysm Artven Carotid Fistula Dsj

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,755.24 / $3,755.24 / $4,559.95
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$24,990.11 / $32,409.51 / $36,545.83
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,959.69 / $4,437.34 / $6,527.74
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,444.96 / $4,549.87 / $6,929.51
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,688.56 / $4,750.55 / $7,287.60
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,755.24 / $3,755.24 / $4,559.95
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,342.84 / $4,689.47 / $6,354.93