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Maine rates for HCPCS 85170

Blood Clot Retraction

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$16.30 / $16.30 / $40.75
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$13.20 / $13.20 / $16.30
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$15.77 / $21.76 / $56.35
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.92 / $6.52 / $10.59
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4.44 / $5.00 / $8.27
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.92 / $5.24 / $23.23
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$16.30 / $16.30 / $19.73
Martin's Point
Facility/Professional
Facility
Modifier
Low / Median / High Price
$16.30 / $16.30 / $40.75
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$13.20 / $13.20 / $16.30
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.96 / $7.15 / $9.77