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Maine rates for HCPCS 40805

Rmvl Embedded Fb Vestibule Mouth Comp

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$238.73 / $254.29 / $361.45
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$240.86 / $352.15 / $454.21
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$248.61 / $380.04 / $630.44
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$250.21 / $356.55 / $554.79
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$238.73 / $254.29 / $361.45
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$356.70 / $520.59 / $628.29