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Maine rates for HCPCS 19112

Excision Lactiferous Duct Fistula

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$251.47 / $368.03 / $527.96
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$336.02 / $488.79 / $693.93
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$399.95 / $624.24 / $1,024.44
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$408.90 / $563.07 / $876.14
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$251.47 / $368.03 / $527.96
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$454.65 / $685.44 / $930.48