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Maine rates for HCPCS 26770

Cltx Iphal Jt Dislc W/Manj W/O Anes

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$372.18 / $377.26 / $722.03
Aetna
Facility/Professional
Facility
Modifier
54
Low / Median / High Price
$388.60 / $637.50 / $637.50
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$221.97 / $279.95 / $454.09
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$274.43 / $355.15 / $497.36
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$284.39 / $411.32 / $596.63
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$344.60 / $412.87 / $672.35
Martin's Point
Facility/Professional
Facility
Modifier
Low / Median / High Price
$372.18 / $421.56 / $722.03
Martin's Point
Facility/Professional
Facility
Modifier
54
Low / Median / High Price
$127.99 / $388.60 / $648.61
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$240.10 / $355.72 / $481.09
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$270.20 / $378.70 / $589.42