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Maine rates for HCPCS 23900

Interthoracoscapular Amputation

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,156.67 / $1,440.09 / $1,747.06
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
$1,448.28 / $1,874.25 / $2,652.09
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,409.01 / $2,096.48 / $2,972.78
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,732.06 / $2,003.99 / $3,074.23
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,156.67 / $1,566.24 / $1,747.06
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,144.93 / $1,868.47 / $2,980.07