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Maine rates for HCPCS 61640

Balloon Dilat Intracranial Vasospasm Prq Initial

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$562.53 / $562.53 / $910.91
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$486.22 / $604.95 / $918.11
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$582.91 / $764.31 / $1,514.56
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$518.79 / $577.49 / $898.57
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$484.28 / $562.53 / $910.91
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$577.49 / $898.57 / $1,015.63