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Maine rates for HCPCS 26415

Exc Xtnsr Tdn W/Impltj Synth Rod Dlyd Grf H/F Ea

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$640.46 / $934.04 / $1,048.14
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$866.24 / $1,121.02 / $1,623.32
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$879.88 / $1,257.77 / $1,895.41
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,060.18 / $1,226.63 / $1,881.71
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$640.46 / $808.61 / $1,048.14
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$713.40 / $1,047.59 / $1,725.84