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Maine rates for HCPCS 65130

Insj Oc Implt Sec After Evsc Scll Shell

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,170.96 / $1,217.07 / $1,217.07
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$814.81 / $964.99 / $1,623.97
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$814.23 / $814.23 / $814.23
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,026.52 / $1,486.92 / $1,887.18
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,038.33 / $1,201.34 / $1,842.93
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,217.07 / $1,217.07 / $1,217.07
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$756.44 / $1,012.69 / $1,493.95