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Maine rates for HCPCS 93280

Program Eval Implantable In Persn Dual Ld Pacer

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$43.67 / $43.67 / $43.67
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$59.50 / $75.59 / $127.99
Aetna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$38.43 / $43.03 / $56.40
Aetna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$21.05 / $24.82 / $71.59
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$75.04 / $92.89 / $197.73
Anthem BCBS
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$39.17 / $52.11 / $91.27
Anthem BCBS
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$38.82 / $45.68 / $85.94
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$81.23 / $120.48 / $181.21
Cigna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$45.28 / $58.67 / $82.42
Cigna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$28.05 / $65.23 / $98.79
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$95.63 / $95.63 / $169.73
Harvard Pilgrim
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$44.52 / $44.97 / $121.32
Harvard Pilgrim
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$51.11 / $59.13 / $139.27
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$59.50 / $80.87 / $127.99
Martin's Point
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$38.43 / $43.67 / $59.30
Martin's Point
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$21.05 / $37.18 / $71.59
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$65.56 / $89.23 / $160.13
United
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$38.36 / $54.80 / $70.86
United
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$25.61 / $31.47 / $74.31