go back

Maine rates for HCPCS G2004

Post-d/c h vst new pt 60 m

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$136.56 / $159.72 / $183.71
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$153.32 / $197.36 / $301.39
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$141.06 / $141.06 / $141.06
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$145.61 / $195.38 / $337.99
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$136.56 / $160.49 / $191.28
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$151.41 / $256.06 / $319.12