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Maine rates for HCPCS 0122U

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$526.23 / $526.23 / $1,118.24
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$426.25 / $426.25 / $426.25
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$210.49 / $210.49 / $342.04
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$604.63 / $604.63 / $755.79
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$526.23 / $526.23 / $637.26
Martin's Point
Facility/Professional
Facility
Modifier
Low / Median / High Price
$526.23 / $526.23 / $852.49
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$426.25 / $426.25 / $526.23
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$315.74 / $315.74 / $763.03