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Maine rates for HCPCS 21193

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Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,093.65 / $1,280.20 / $1,588.86
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,281.33 / $1,658.19 / $2,336.52
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,240.05 / $1,891.83 / $2,681.07
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,525.96 / $1,765.54 / $2,708.43
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,093.65 / $1,303.06 / $1,588.86
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,196.00 / $1,713.03 / $2,215.13