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Maine rates for HCPCS 41005

Intraoral incision and drainage of abscess, cyst, or hematoma of tongue or floor of mouth; sublingual, superficial

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$112.20 / $208.93 / $371.54
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$114.82 / $229.09 / $426.58
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$131.83 / $245.47 / $512.86
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$138.04 / $288.40 / $602.56
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$123.03 / $245.47 / $575.44
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$131.83 / $234.42 / $457.09