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Maine rates for HCPCS 57291

Construction Artificial Vagina W/O Graft

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$549.90 / $549.90 / $646.72
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$594.85 / $716.35 / $1,058.05
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$640.85 / $787.16 / $1,197.43
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$614.33 / $791.20 / $1,213.75
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$549.90 / $549.90 / $646.72
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$632.86 / $915.39 / $1,100.95