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Maine rates for HCPCS 42650

Dilation salivary duct

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$54.95 / $75.86 / $147.91
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$56.23 / $93.33 / $158.49
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$100.00 / $100.00 / $457.09
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$63.10 / $100.00 / $223.87
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$66.07 / $117.49 / $208.93
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$58.88 / $97.72 / $213.80
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$61.66 / $95.50 / $165.96