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Maine rates for HCPCS 0004M

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$79.00 / $79.00 / $167.88
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$63.99 / $63.99 / $63.99
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$31.60 / $51.35 / $51.35
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$79.00 / $79.00 / $79.79
Martin's Point
Facility/Professional
Facility
Modifier
Low / Median / High Price
$79.00 / $79.00 / $127.98
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$63.99 / $63.99 / $79.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$47.40 / $47.40 / $118.50