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Maine rates for HCPCS 40845

Vestibuloplasty Cplx W/Ridge Xtn Musc Rpsg

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,300.05 / $1,459.37 / $1,771.78
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,486.68 / $1,802.98 / $2,337.75
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,506.05 / $1,962.21 / $3,255.09
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,502.47 / $1,835.11 / $2,855.43
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,300.05 / $1,459.37 / $1,771.78
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,486.67 / $2,090.38 / $3,203.45