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Maine rates for HCPCS 65110

Exenteration Orbit Remvl Orbital Contents Only

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,957.00 / $1,957.00 / $1,957.09
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,263.45 / $1,582.68 / $2,503.37
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,144.71 / $1,144.71 / $1,144.71
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,611.17 / $2,415.60 / $2,891.28
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,610.05 / $1,862.83 / $2,857.68
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,957.00 / $1,957.00 / $1,957.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,223.84 / $1,697.94 / $2,195.61