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Maine rates for HCPCS 54437

Repair of traumatic corporeal tear(s)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$673.37 / $3,216.20 / $3,216.20
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$673.37 / $673.38 / $1,269.29
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$779.78 / $896.25 / $1,432.60
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$843.81 / $1,016.62 / $1,456.48
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$759.49 / $978.15 / $1,500.54
Martin's Point
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,216.20 / $3,216.20 / $3,216.20
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$673.37 / $673.38 / $1,269.29
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$826.26 / $962.31 / $1,355.95