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Maine rates for HCPCS 41250

Rpr Lac 2.5 Cm/< Mouth&/Ant Two-Thirds Tong

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,650.78 / $1,650.78 / $1,650.78
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$259.45 / $259.45 / $611.00
Martin's Point
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,650.78 / $1,650.78 / $1,650.78