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Maine rates for HCPCS 42975

Dise Dyn Eval Sleep Disordered Breathing Flx Dx

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,729.38 / $1,782.82 / $2,016.54
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$101.92 / $121.50 / $152.12
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$117.85 / $141.27 / $185.04
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$141.35 / $163.95 / $243.06
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$108.13 / $139.26 / $213.63
Martin's Point
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,729.38 / $1,782.82 / $2,016.54
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$101.92 / $132.99 / $180.25
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$120.36 / $162.72 / $210.43