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Maine rates for HCPCS G0288

Reconstruction Computed Tomographic Angiography Of Aorta For Surgical Planning For Vascular Surgery

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$23.85 / $32.26 / $86.31
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$45.26 / $49.78 / $96.75
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$41.66 / $41.66 / $41.66
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$57.71 / $69.44 / $125.28
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$23.85 / $32.72 / $86.31
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$35.72 / $57.70 / $89.43