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Maine rates for HCPCS 22319

Optx&/Rdctj Odntd Fx&/Dislc Ant W/Int Fixj

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,535.71 / $1,839.60 / $2,233.78
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$44,569.01 / $56,593.28 / $65,823.96
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,921.99 / $2,487.28 / $3,544.54
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,889.27 / $2,715.27 / $3,839.04
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,314.92 / $2,678.36 / $4,108.75
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,535.71 / $2,042.59 / $2,233.78
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,697.67 / $2,414.71 / $3,234.00