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Maine rates for HCPCS 75901

Mechanical Rmvl Pericatheter Obstr Matrl Rs&I

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$170.79 / $170.91 / $381.00
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$215.43 / $253.18 / $351.71
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$137.07 / $332.62 / $537.30
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$274.52 / $317.63 / $487.26
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$152.30 / $170.91 / $248.35
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$172.65 / $239.82 / $467.08