go back

Maine rates for HCPCS 12055

Repair Intermediate F/E/E/N/L&/Muc 12.6-20.0cm

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$239.46 / $361.83 / $389.73
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$322.26 / $522.90 / $762.51
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$386.70 / $623.91 / $966.92
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$374.69 / $618.71 / $1,041.66
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$224.12 / $315.57 / $389.73
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$455.23 / $640.94 / $1,016.51