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Maine rates for HCPCS 57292

Construction Artificial Vagina W/Graft

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$837.27 / $837.27 / $890.81
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$911.00 / $1,094.29 / $1,587.73
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$999.11 / $1,183.76 / $1,797.09
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$922.42 / $1,188.00 / $1,822.45
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$837.27 / $837.27 / $890.81
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$959.24 / $1,265.74 / $1,801.45