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Maine rates for HCPCS 65103

Enucleation Eye Implt Musc X Attached Implt

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,952.33 / $4,952.33 / $4,952.33
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$814.23 / $814.23 / $814.23
Martin's Point
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,952.33 / $4,952.33 / $4,952.33