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Maine rates for HCPCS 0054T

Computer-assisted musculoskeletal surgical navigational orthopedic procedure, with image-guidance based on fluoroscopic images (List separately in addition to code for primary procedure)

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$102.33 / $165.96 / $223.87
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$123.03 / $158.49 / $194.98
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$186.21 / $229.09 / $416.87
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$102.33 / $173.78 / $309.03
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$138.04 / $213.80 / $371.54