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Maine rates for HCPCS 40831

Closure Laceration Vestibule Mouth > 2.5 Cm/Cpl

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$201.28 / $296.68 / $431.55
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$255.40 / $370.63 / $484.88
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$264.43 / $399.31 / $691.35
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$253.50 / $368.92 / $574.04
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$201.28 / $286.56 / $431.55
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$338.81 / $542.10 / $654.79