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Maine rates for HCPCS 63290

Lam Bx/Exc Ispi Neo Xdrl-Idrl Les Any Lvl

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,235.31 / $2,815.58 / $3,167.41
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$24,744.96 / $31,420.90 / $36,545.83
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,822.94 / $3,653.22 / $5,576.86
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,943.90 / $4,122.45 / $5,815.07
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,507.82 / $4,058.55 / $6,226.03
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,601.27 / $2,950.87 / $3,167.41
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,594.00 / $3,683.79 / $5,379.91