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Maine rates for HCPCS 23650

Clsd Tx Shoulder Dislc W/Manipulation W/O Anes

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$253.24 / $367.26 / $796.95
Aetna
Facility/Professional
Facility
Modifier
54
Low / Median / High Price
$60.45 / $645.45 / $698.63
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$253.07 / $353.88 / $517.19
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$312.08 / $403.87 / $562.99
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$323.73 / $467.97 / $681.85
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$392.00 / $469.66 / $771.85
Martin's Point
Facility/Professional
Facility
Modifier
Low / Median / High Price
$250.24 / $434.98 / $796.95
Martin's Point
Facility/Professional
Facility
Modifier
54
Low / Median / High Price
$60.45 / $474.26 / $698.63
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$266.99 / $404.32 / $588.21
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$306.18 / $431.93 / $698.14