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Maine rates for HCPCS 42507

Parotid Duct Diversion Bilateral Wilke Px

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$552.59 / $600.66 / $663.39
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$556.70 / $672.87 / $1,018.49
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$558.49 / $558.49 / $699.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$509.35 / $678.37 / $1,083.58
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$552.49 / $711.56 / $1,113.46
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$552.59 / $600.66 / $1,189.33
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$491.55 / $728.26 / $1,002.11