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Maine rates for HCPCS 20663

Application Halo Femoral Including Removal

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$365.07 / $508.85 / $597.15
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$503.00 / $650.94 / $936.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$503.86 / $729.12 / $1,039.92
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$611.29 / $707.26 / $1,084.98
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$365.07 / $529.85 / $597.15
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$455.37 / $649.02 / $977.20