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Maine rates for HCPCS 15630

Delay Flap/Sctj Flap Eyelids Nose Ears/Lips

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7,470.03 / $7,470.03 / $7,470.03
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$273.72 / $379.64 / $766.11
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$366.87 / $486.56 / $710.18
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$361.30 / $565.75 / $912.29
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$431.57 / $582.02 / $970.19
Martin's Point
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7,470.03 / $7,470.03 / $7,470.03
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$273.72 / $398.87 / $797.61
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$437.40 / $629.20 / $943.17