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Maine rates for HCPCS 0105U

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$950.00 / $950.00 / $2,018.75
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$769.50 / $769.50 / $769.50
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$919.32 / $1,153.97 / $3,284.15
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$380.00 / $380.00 / $617.50
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,026.33 / $2,026.33 / $2,026.33
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,091.56 / $1,091.56 / $1,364.45
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$950.00 / $950.00 / $1,150.45
Martin's Point
Facility/Professional
Facility
Modifier
Low / Median / High Price
$950.00 / $950.00 / $1,539.00
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$769.50 / $769.50 / $950.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$570.00 / $570.00 / $1,377.50