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Maine rates for HCPCS 93455

Catheter placement in coronary artery(s) for coronary angiography, including intraprocedural injection(s) for coronary angiography, imaging supervision and interpretation; with catheter placement(s) in bypass graft(s) (internal mammary, free arterial, venous grafts) including intraprocedural injection(s) for bypass graft angiography

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$310.38 / $310.38 / $310.38
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,034.55 / $1,170.30 / $1,606.90
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,099.54 / $1,293.58 / $1,915.06
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,336.10 / $1,587.77 / $2,311.30
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,068.32 / $1,189.20 / $1,850.40
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,052.17 / $1,170.29 / $1,696.90
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,069.58 / $1,465.89 / $2,017.27