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Maine rates for HCPCS 0058U

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$322.95 / $322.95 / $686.29
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$261.60 / $261.60 / $261.60
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$312.52 / $392.30 / $1,116.47
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.95 / $209.92 / $209.92
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$688.85 / $688.85 / $688.85
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$322.95 / $322.95 / $326.19
Martin's Point
Facility/Professional
Facility
Modifier
Low / Median / High Price
$322.95 / $322.95 / $523.20
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$261.60 / $261.60 / $322.95
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$164.71 / $215.31 / $538.28