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Maine rates for HCPCS 0699T

Injection Posterior Chamber Eye Medication

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$109.08 / $109.08 / $109.08
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$129.72 / $169.92 / $219.90
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$143.44 / $165.97 / $254.61
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$109.08 / $109.08 / $109.08
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$126.26 / $154.96 / $229.89