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Maine rates for HCPCS 40842

Vestibuloplasty Posterior Unilateral

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$662.73 / $818.21 / $1,103.08
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$751.19 / $967.63 / $1,309.07
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$840.83 / $1,181.28 / $2,043.69
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$766.69 / $1,027.60 / $1,598.96
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$662.73 / $818.21 / $1,103.08
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$840.40 / $1,122.95 / $1,880.00