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Maine rates for HCPCS 00172

Anes Intraoral W/Biopsy Repair Cleft Palate

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.00 / $42.42 / $440.37
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$283.70 / $283.70 / $629.29
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$240.00 / $390.00 / $672.00
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$39.00 / $364.98 / $479.64
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$50.00 / $60.00 / $76.48