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Maine rates for HCPCS 61702

Simple Intracranial Arysm Vertebrobasilar Crcj

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4,577.56 / $4,577.56 / $5,589.81
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
$4,829.78 / $5,434.89 / $8,008.13
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4,083.26 / $5,554.28 / $8,348.85
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4,525.07 / $5,827.90 / $8,940.31
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4,577.56 / $4,577.56 / $5,589.81
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,930.07 / $5,646.92 / $7,711.26