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Maine rates for HCPCS 42225

Palatop Cl Palate Attachment Pharyngeal Flap

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,206.66 / $3,206.66 / $3,206.66
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$979.06 / $1,189.50 / $1,189.50
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,025.21 / $1,326.75 / $2,038.34
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$982.00 / $982.00 / $1,110.75
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$847.90 / $1,303.31 / $2,162.04
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,105.72 / $1,424.07 / $2,228.42
Martin's Point
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,206.66 / $3,206.66 / $3,206.66
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$979.06 / $1,189.50 / $2,382.35
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$902.13 / $1,268.47 / $2,072.23