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Maine rates for HCPCS 65114

Exntj Orbit Rmvl Orb Cnts W/Musc/Myoq Flap

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,359.54 / $2,359.54 / $2,363.46
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,512.20 / $1,919.99 / $2,991.06
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,588.54 / $1,588.54 / $1,588.54
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,931.96 / $2,881.68 / $3,449.14
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,927.04 / $2,229.59 / $3,420.30
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,359.54 / $2,359.54 / $2,359.54
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,478.09 / $2,072.85 / $3,110.84