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Maine rates for HCPCS 0055U

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,240.00 / $3,240.00 / $6,885.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,624.40 / $2,624.40 / $2,624.40
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,296.00 / $2,106.00 / $2,106.00
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6,910.84 / $6,910.84 / $6,910.84
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,240.00 / $3,240.00 / $3,272.40
Martin's Point
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,240.00 / $3,240.00 / $5,248.80
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,624.40 / $2,624.40 / $3,240.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,652.40 / $1,944.00 / $5,670.00