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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
$46.77 / $51.29 / $85.11
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$46.77 / $81.28 / $204.17
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$44.67 / $77.62 / $114.82
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$57.54 / $89.13 / $131.83
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$50.12 / $87.10 / $134.90
Martin's Point
Facility/Professional
Facility
Modifier
Low / Median / High Price
$46.77 / $51.29 / $85.11
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$46.77 / $75.86 / $158.49
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$56.23 / $87.10 / $134.90