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Maine rates for HCPCS 12041

Repair Intermediate N/H/F/Xtrnl Gent 2.5cm/<

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$117.81 / $405.56 / $406.02
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$117.81 / $202.66 / $412.54
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$159.46 / $255.23 / $399.29
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$187.66 / $309.88 / $506.99
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$181.37 / $321.91 / $545.47
Martin's Point
Facility/Professional
Facility
Modifier
Low / Median / High Price
$279.45 / $405.56 / $514.89
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$117.81 / $202.66 / $433.25
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$240.53 / $323.81 / $536.97