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Maine rates for HCPCS 23101

Arthrotomy, acromioclavicular joint or sternoclavicular joint, including biopsy and/or excision of torn cartilage

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$382.39 / $486.41 / $576.80
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$482.17 / $623.98 / $893.07
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$479.74 / $694.93 / $995.64
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$583.26 / $674.83 / $1,035.23
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$382.39 / $517.88 / $576.80
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$433.64 / $616.74 / $931.87