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Maine rates for HCPCS 0628T

Perq Njx Algc Cell &/Prdct Uni/Bi Fluor Lmbr Ea

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$39.96 / $76.43 / $86.82
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$115.96 / $181.72 / $309.14
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$93.57 / $108.26 / $166.08
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$39.96 / $76.43 / $86.82
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$75.34 / $106.43 / $149.59