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Maine rates for HCPCS 29058

Application, cast; plaster Velpeau

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$77.56 / $117.44 / $154.38
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$100.51 / $125.15 / $179.31
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$115.27 / $171.48 / $250.59
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$118.30 / $159.11 / $282.39
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$77.56 / $117.44 / $154.38
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$114.64 / $160.56 / $253.10