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Maine rates for HCPCS 40761

Plstc Rpr Cl Lip/Nsl Dfrm W/Cross Lip Pedcl Flap

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,258.14 / $1,311.44 / $1,311.44
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,125.66 / $1,456.74 / $2,229.46
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$924.18 / $1,506.07 / $2,320.91
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,346.25 / $1,612.94 / $2,389.46
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,111.40 / $1,206.48 / $1,311.44
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,059.48 / $1,518.90 / $2,138.51