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Maine rates for HCPCS 65286

Rpr Lac Appl Tissue Glue Wound Cornea&/Sclera

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$762.38 / $791.12 / $1,132.76
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$541.95 / $633.45 / $873.17
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$531.64 / $531.64 / $531.64
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$761.59 / $1,066.52 / $1,434.86
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$604.70 / $845.42 / $1,315.47
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$386.02 / $762.38 / $1,086.13
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$670.89 / $969.28 / $1,412.80