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Maine rates for HCPCS 78140

Labeled red cell sequestration, differential organ/tissue (eg, splenic and/or hepatic)

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$128.32 / $128.32 / $140.96
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$460.47 / $636.04 / $1,043.88
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$116.12 / $141.62 / $208.55
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$136.82 / $200.55 / $258.68
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$135.19 / $156.43 / $293.49
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$128.32 / $128.32 / $181.60
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$127.45 / $204.64 / $236.57