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Maine rates for HCPCS 42310

Drg Absc Submaxillary/Sublingual Intraoral

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$133.50 / $168.06 / $212.69
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$164.87 / $213.04 / $296.89
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$226.65 / $226.65 / $456.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$151.66 / $227.39 / $380.88
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$169.41 / $211.87 / $376.05
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$133.50 / $173.06 / $330.18
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$165.33 / $251.91 / $381.09