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Maine rates for HCPCS 31622

Brnchsc Incl Fluor Gdnce Dx W/Cell Washg Spx

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$299.68 / $1,137.18 / $3,254.79
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$139.61 / $249.76 / $349.60
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$157.69 / $247.47 / $382.02
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$164.83 / $306.70 / $549.32
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$160.76 / $278.47 / $482.31
Martin's Point
Facility/Professional
Facility
Modifier
Low / Median / High Price
$997.30 / $1,137.18 / $3,254.79
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$151.19 / $240.51 / $396.79
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$212.20 / $420.60 / $507.62