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Maine rates for HCPCS 53661

Dilat Female Urt W/Suppository&/Instlj Sbsq

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$51.85 / $62.25 / $105.10
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$48.59 / $76.64 / $117.33
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$54.17 / $91.20 / $162.15
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$49.46 / $82.95 / $143.66
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$51.85 / $62.25 / $105.10
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$69.44 / $97.64 / $151.86