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Maine rates for HCPCS 40702

Plstc Rpr Cl Lip/Nsl Dfrm Prim Bi 1 2 Stgs

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,211.96 / $1,211.96 / $1,211.96
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,042.34 / $1,348.93 / $2,069.73
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$856.52 / $1,390.97 / $2,151.00
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,249.79 / $1,497.37 / $2,218.25
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,211.96 / $1,211.96 / $1,211.96
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$977.75 / $1,226.18 / $1,987.57