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Maine rates for HCPCS 12042

Repair Intermediate N/H/F/Xtrnl Gent 2.6-7.5 Cm

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$157.94 / $383.27 / $482.53
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$157.94 / $240.80 / $507.81
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$213.73 / $320.80 / $470.41
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$254.81 / $391.87 / $597.41
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$243.61 / $381.70 / $642.63
Martin's Point
Facility/Professional
Facility
Modifier
Low / Median / High Price
$357.22 / $428.56 / $497.86
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$157.94 / $242.43 / $507.81
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$286.74 / $396.25 / $630.91