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Maine rates for HCPCS 12031

Repair Intermediate S/A/T/E 2.5 Cm/<

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$121.90 / $395.13 / $1,052.76
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$121.91 / $202.19 / $410.42
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$163.55 / $265.08 / $397.26
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$197.19 / $324.02 / $505.14
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$188.38 / $322.33 / $542.69
Martin's Point
Facility/Professional
Facility
Modifier
Low / Median / High Price
$258.01 / $464.00 / $7,035.19
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$121.90 / $202.19 / $410.42
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$203.69 / $323.39 / $535.91