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Maine rates for HCPCS 19105

Ablation, cryosurgical, of fibroadenoma, including ultrasound guidance, each fibroadenoma

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$165.96 / $741.31 / $3,981.07
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$199.53 / $426.58 / $3,388.44
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$251.19 / $457.09 / $4,265.80
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$239.88 / $2,691.53 / $4,786.30
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$165.96 / $741.31 / $6,309.57
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$251.19 / $1,737.80 / $5,128.61