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Maine rates for HCPCS 0109U

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$142.63 / $142.63 / $303.08
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$115.53 / $115.53 / $115.53
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$138.02 / $173.25 / $493.07
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$57.05 / $57.05 / $92.70
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$304.23 / $304.23 / $304.23
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$142.63 / $142.63 / $144.06
Martin's Point
Facility/Professional
Facility
Modifier
Low / Median / High Price
$142.63 / $142.63 / $231.06
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$115.53 / $115.53 / $142.63
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$72.73 / $85.58 / $249.60