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Maine rates for HCPCS 49215

Exc Presac/Sacrococcygeal Tumor

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,874.06 / $2,592.98 / $2,654.48
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$12,224.20 / $16,010.56 / $18,053.93
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,318.83 / $3,000.84 / $4,531.97
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$699.00 / $699.00 / $2,524.85
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,844.42 / $3,192.10 / $4,804.55
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,458.42 / $3,166.25 / $4,954.62
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,874.06 / $2,654.48 / $2,738.24
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,203.10 / $3,216.80 / $4,333.93