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Maine rates for HCPCS 15922

Exc Coccygeal Pr Ulc W/Coccygectomy W/Flap Clsr

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$633.05 / $633.05 / $633.05
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$781.96 / $980.10 / $1,527.33
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$620.12 / $1,078.39 / $1,724.60
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$999.17 / $1,197.10 / $1,773.43
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$633.05 / $633.05 / $633.05
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$766.15 / $1,084.48 / $1,596.06