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Maine rates for HCPCS 12035

Repair Intermediate S/A/T/E 12.6-20.0cm

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.81 / $365.90 / $384.54
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$192.03 / $308.88 / $635.42
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$256.83 / $406.27 / $593.34
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$312.58 / $486.83 / $766.32
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$300.91 / $481.45 / $810.57
Martin's Point
Facility/Professional
Facility
Modifier
Low / Median / High Price
$365.90 / $365.90 / $384.54
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$192.03 / $311.43 / $635.42
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$368.04 / $522.92 / $854.53