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Maine rates for HCPCS 42810

Exc Branchial Cleft Cyst Confined Skn&Subq Tis

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,650.96 / $2,594.08 / $2,594.08
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$272.23 / $381.76 / $537.08
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$346.34 / $469.39 / $652.07
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$476.27 / $476.27 / $699.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$332.40 / $495.00 / $861.23
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$355.73 / $483.10 / $857.45
Martin's Point
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,650.96 / $2,594.08 / $8,519.34
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$308.54 / $424.17 / $688.58
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$368.01 / $562.77 / $797.68