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Maine rates for HCPCS C9250

Human Plasma Fibrin Sealant Vapor-Heated Solvent Detergent (Artiss) 2 Ml

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,492.60 / $1,492.60 / $1,492.60
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$180.95 / $187.57 / $187.57
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$126.20 / $157.74 / $449.65
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$160.68 / $163.60 / $163.60
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$161.40 / $187.57 / $287.08
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$187.57 / $187.57 / $187.57
Martin's Point
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,492.60 / $1,492.60 / $1,492.60
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$187.57 / $187.57 / $187.57