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Maine rates for HCPCS 40830

Closure Laceration Vestibule Mouth 2.5 Cm/<

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$168.86 / $203.43 / $338.56
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$182.30 / $268.31 / $367.29
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$189.21 / $300.99 / $523.66
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$183.43 / $278.64 / $433.58
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$168.86 / $203.43 / $338.56
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$265.11 / $372.91 / $482.21