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Maine rates for HCPCS 0054T

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Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$168.59 / $173.23 / $324.51
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$144.44 / $156.72 / $156.72
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$210.63 / $243.70 / $373.85
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$168.59 / $225.00 / $358.69
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$151.91 / $230.60 / $340.98