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Maine rates for HCPCS 65150

Reinsertion Ocular Implt W/Wo Conjunctival Graft

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$927.66 / $982.45 / $982.45
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$667.96 / $797.11 / $1,332.59
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$712.05 / $712.05 / $712.05
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$838.50 / $1,219.20 / $1,559.72
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$851.19 / $984.83 / $1,510.78
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$982.45 / $982.45 / $982.45
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$609.36 / $792.17 / $1,202.64