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Maine rates for HCPCS 41825

Exc Lesion/Tumor Dentoalveolar Strux W/O Rpr

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$145.58 / $145.58 / $264.35
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$132.61 / $217.99 / $264.35
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$146.16 / $233.36 / $344.84
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$203.80 / $203.80 / $699.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$149.90 / $260.81 / $491.17
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$152.51 / $269.99 / $466.79
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$141.88 / $218.69 / $343.06
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$189.88 / $297.70 / $451.29