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Maine rates for HCPCS 64625

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Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$219.36 / $308.14 / $767.48
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$228.24 / $285.93 / $408.07
Anthem BCBS
Facility/Professional
Professional
Modifier
50
Low / Median / High Price
$342.36 / $428.90 / $612.10
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$243.18 / $595.35 / $1,066.71
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$243.20 / $560.94 / $1,021.33
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$205.86 / $308.14 / $767.48
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$401.63 / $683.75 / $1,091.15