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Maine rates for HCPCS 22101

Prtl Exc Pst Vrt Intrnsc B1y Les 1 Vrt Sgm Thrc

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$761.90 / $893.94 / $1,412.91
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$901.17 / $1,166.22 / $1,725.57
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$925.81 / $1,333.34 / $1,841.05
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,126.95 / $1,303.88 / $2,000.22
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$723.24 / $965.80 / $1,085.54
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$825.01 / $1,135.97 / $1,753.53