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Maine rates for HCPCS 30560

Lysis Intranasal Synechia

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,183.49 / $5,183.49 / $5,183.49
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$131.15 / $248.45 / $365.12
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$164.79 / $201.61 / $291.22
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$192.12 / $334.26 / $610.09
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$187.14 / $348.08 / $602.90
Martin's Point
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,183.49 / $5,183.49 / $5,183.49
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$131.15 / $248.07 / $365.12
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$274.45 / $382.10 / $660.00