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Maine rates for HCPCS 57160

Fitting and insertion of pessary or other intravaginal support device

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$47.14 / $51.71 / $85.11
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$47.06 / $69.20 / $99.29
Aetna
Facility/Professional
Professional
Modifier
52
Low / Median / High Price
$23.58 / $25.55 / $42.21
Aetna
Facility/Professional
Professional
Modifier
53
Low / Median / High Price
$9.43 / $10.22 / $16.88
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$52.43 / $76.83 / $113.28
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$58.41 / $96.78 / $143.27
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$56.88 / $91.92 / $143.03
Martin's Point
Facility/Professional
Facility
Modifier
Low / Median / High Price
$47.14 / $51.71 / $85.11
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$47.14 / $69.20 / $117.40
Martin's Point
Facility/Professional
Professional
Modifier
52
Low / Median / High Price
$23.58 / $25.55 / $42.21
Martin's Point
Facility/Professional
Professional
Modifier
53
Low / Median / High Price
$9.43 / $10.22 / $16.88
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$84.90 / $115.66 / $148.91