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Maine rates for HCPCS 15877

Suction Assisted Lipectomy Trunk

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$49.00 / $656.25 / $682.76
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$214.24 / $214.24 / $633.49
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$462.08 / $567.16 / $937.56
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$49.00 / $656.25 / $754.68
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$249.12 / $556.88 / $609.66