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Maine rates for HCPCS 20101

Exploration Penetrating Wound Spx Chest

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$188.40 / $279.79 / $607.28
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$261.20 / $400.58 / $844.30
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$256.02 / $458.25 / $1,170.63
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$260.92 / $685.08 / $1,099.83
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$230.31 / $279.79 / $729.55
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$392.30 / $612.28 / $1,162.74