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Maine rates for HCPCS 41017

Xtroral I&D Absc Cst/Hmtma Floor Mouth Submndb

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,659.80 / $4,659.80 / $4,659.80
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$456.00 / $456.00 / $574.02
Martin's Point
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,659.80 / $4,659.80 / $4,659.80