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Maine rates for HCPCS 40652

Repair Lip Full Thickness <Half Vertical Height

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$731.78 / $731.78 / $731.78
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$315.55 / $437.70 / $614.62
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$431.61 / $605.62 / $817.29
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$382.63 / $688.39 / $1,012.32
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$457.13 / $654.04 / $1,090.25
Martin's Point
Facility/Professional
Facility
Modifier
Low / Median / High Price
$731.78 / $731.78 / $731.78
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$362.88 / $428.72 / $614.62
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$485.34 / $677.48 / $1,053.95