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Maine rates for HCPCS 42665

Ligation salivary duct, intraoral

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$208.93 / $323.59 / $575.44
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$204.17 / $407.38 / $676.08
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$371.54 / $371.54 / $1,348.96
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$234.42 / $398.11 / $831.76
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$245.47 / $467.74 / $977.24
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$218.78 / $398.11 / $912.01
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$229.09 / $389.05 / $741.31