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Maine rates for HCPCS 42650

Dilation Salivary Duct

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$63.03 / $75.79 / $95.15
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$70.45 / $92.60 / $128.63
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$100.37 / $100.37 / $456.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$70.81 / $100.10 / $177.91
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$74.61 / $92.75 / $164.62
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$63.03 / $88.12 / $143.93
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$79.95 / $117.51 / $151.33