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Maine rates for HCPCS 40700

Plstc Rpr Cl Lip/Nsl Dfrm Prim Prtl/Compl Uni

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$863.37 / $1,220.16 / $1,610.26
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,049.03 / $1,357.57 / $2,088.16
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$864.09 / $1,399.77 / $2,170.00
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,260.92 / $1,510.71 / $2,238.01
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$863.37 / $1,220.16 / $1,610.26
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$836.07 / $1,281.05 / $2,006.69