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Maine rates for HCPCS 42408

Exc Sublingual Salivary Cyst Ranula

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8,253.87 / $8,253.87 / $8,253.87
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$298.00 / $424.34 / $639.92
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$426.07 / $625.99 / $874.98
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$589.50 / $589.50 / $699.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$397.65 / $675.44 / $1,178.07
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$437.76 / $669.00 / $1,187.41
Martin's Point
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8,253.87 / $8,253.87 / $8,253.87
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$336.30 / $424.34 / $640.80
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$457.10 / $669.00 / $1,123.33