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Maine rates for HCPCS 57296

Revj W/Rmvl Prosthetic Vaginal Graft Abdml Appr

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$960.35 / $960.35 / $1,027.58
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$17,268.63 / $22,395.57 / $25,253.84
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,060.40 / $1,270.42 / $1,835.09
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,076.31 / $1,368.96 / $2,075.64
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,067.20 / $1,374.47 / $2,108.51
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$960.35 / $960.35 / $1,027.58
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$987.48 / $1,459.62 / $2,066.26