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Maine rates for HCPCS 23174

Sequestrectomy Humeral Head Surgery Neck

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$638.21 / $807.39 / $959.92
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$803.39 / $1,039.68 / $1,483.83
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$794.78 / $1,152.83 / $1,656.34
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$969.08 / $1,121.23 / $1,720.02
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$638.21 / $872.16 / $959.92
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$640.36 / $1,029.09 / $1,542.97