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Maine rates for HCPCS 42330

Sialot Submndblr Sublngl/Prtd Uncomp Intraoral

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$149.93 / $212.15 / $280.72
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$200.32 / $282.23 / $392.07
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$279.22 / $279.22 / $699.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$202.38 / $306.67 / $515.46
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$206.92 / $289.77 / $514.33
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$176.11 / $261.58 / $369.98
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$230.16 / $355.81 / $476.97