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Maine rates for HCPCS 0090U

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,950.00 / $1,950.00 / $4,143.75
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,579.50 / $1,579.50 / $1,579.50
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,887.02 / $2,368.67 / $6,741.15
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$780.00 / $780.00 / $1,267.50
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,159.30 / $4,159.30 / $4,159.30
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,950.00 / $1,950.00 / $1,969.50
Martin's Point
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,950.00 / $1,950.00 / $3,159.00
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,579.50 / $1,579.50 / $1,950.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$975.00 / $1,170.00 / $2,925.00