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Maine rates for HCPCS 45520

Perirectal injection of sclerosing solution for prolapse

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$40.67 / $148.88 / $190.28
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$49.01 / $101.86 / $248.37
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$49.27 / $141.69 / $367.22
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$50.29 / $165.72 / $337.08
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$40.67 / $97.58 / $190.28
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$125.66 / $214.37 / $331.85