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Maine rates for HCPCS 57150

Irrigation of vagina and/or application of medicament for treatment of bacterial, parasitic, or fungoid disease

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$26.92 / $51.29 / $81.28
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$24.55 / $51.29 / $87.10
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$33.11 / $58.88 / $107.15
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$27.54 / $64.57 / $102.33
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$26.92 / $52.48 / $109.65
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$33.88 / $56.23 / $102.33