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Maine rates for HCPCS 40800

Drg Absc Cst Hmtma Vestibule Mouth Smpl

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$235.05 / $550.25 / $3,522.91
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$137.66 / $206.50 / $254.61
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$145.34 / $227.15 / $317.87
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$149.32 / $259.79 / $455.63
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$150.44 / $248.63 / $392.53
Martin's Point
Facility/Professional
Facility
Modifier
Low / Median / High Price
$96.04 / $423.95 / $3,522.91
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$141.25 / $225.23 / $362.20
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$198.65 / $297.98 / $413.67