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Maine rates for HCPCS 21347

Optx Nasomax Cplx Fx Left Ii Type Req Mlt Opn

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$865.14 / $1,145.83 / $1,284.34
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,092.86 / $1,414.31 / $1,979.29
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,060.22 / $1,542.78 / $2,281.79
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,292.66 / $1,495.61 / $2,294.34
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$959.75 / $1,145.83 / $1,284.34
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$979.56 / $1,563.34 / $2,085.21