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Maine rates for HCPCS 21255

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Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,109.78 / $1,436.04 / $1,748.33
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,397.10 / $1,808.01 / $2,533.89
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,350.76 / $2,052.92 / $2,927.87
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,652.10 / $1,911.48 / $2,932.31
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,109.78 / $1,632.02 / $1,748.33
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,328.74 / $1,869.17 / $2,523.36