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Maine rates for HCPCS 45121

Prctect Compl W/Stot/Tot Colct W/Mlt Bxs

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,736.89 / $2,082.44 / $2,144.42
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$9,499.29 / $12,441.62 / $14,029.50
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,971.70 / $2,332.80 / $3,592.00
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$699.00 / $699.00 / $1,988.99
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,505.04 / $2,515.77 / $3,773.83
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,948.52 / $2,509.53 / $3,926.99
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,736.89 / $2,082.44 / $4,065.27
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,701.15 / $2,427.81 / $3,655.49