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Maine rates for HCPCS 0165T

Revj Tot Disc Arthrp Ant Appr Lmbr Ea Ntrspc

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$294.39 / $429.47 / $1,068.27
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$830.92 / $1,055.08 / $1,227.18
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$396.16 / $631.87 / $709.30
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$736.60 / $852.25 / $1,307.39
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$294.39 / $429.47 / $433.95
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$408.00 / $582.38 / $1,146.15