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Maine rates for HCPCS G0269

Placement of occlusive device into either a venous or arterial access site, postsurgical or interventional procedure (e.g., angioseal plug, vascular plug)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$175.27 / $175.27 / $175.27
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$175.27 / $1,456.81 / $1,456.81
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$22.54 / $29.22 / $29.22
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.60 / $7.60 / $455.44
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$175.27 / $304.95 / $1,456.81