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Maine rates for HCPCS 42665

Ligation Salivary Duct Intraoral

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$222.71 / $335.78 / $417.23
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$252.94 / $399.78 / $588.11
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$367.72 / $367.72 / $1,363.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$251.49 / $425.21 / $740.00
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$274.52 / $461.66 / $819.40
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$222.71 / $335.78 / $531.25
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$292.02 / $445.94 / $770.49