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Maine rates for HCPCS 75809

Shuntogram Indwelling Nonvascular Shunt Rs&I

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$26.67 / $26.67 / $26.67
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$77.37 / $99.42 / $103.50
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$86.83 / $112.37 / $155.77
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$73.16 / $134.96 / $193.08
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$85.30 / $115.89 / $217.43
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$77.37 / $99.42 / $117.09
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$85.57 / $134.88 / $217.43