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Maine rates for HCPCS 01634

Anesthesia for open or surgical arthroscopic procedures on humeral head and neck, sternoclavicular joint, acromioclavicular joint, and shoulder joint; shoulder disarticulation

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.20 / $44.67 / $1,023.29
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$407.38 / $616.60 / $891.25
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$398.11 / $537.03 / $1,288.25
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$45.71 / $60.26 / $75.86
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$40.74 / $707.95 / $1,047.13
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$46.77 / $60.26 / $81.28