go back

Maine rates for HCPCS 65400

Excision Lesion Cornea Xcp Pterygium

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$569.75 / $965.43 / $1,340.43
Aetna
Facility/Professional
Professional
Modifier
54
Low / Median / High Price
$693.58 / $724.07 / $817.37
Aetna
Facility/Professional
Professional
Modifier
55
Low / Median / High Price
$138.72 / $144.81 / $163.47
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$598.05 / $773.96 / $977.44
Anthem BCBS
Facility/Professional
Professional
Modifier
50
Low / Median / High Price
$897.09 / $1,160.94 / $1,454.37
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$531.64 / $531.64 / $531.64
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$851.94 / $1,157.42 / $1,383.52
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$740.72 / $858.46 / $1,322.54
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$560.07 / $798.47 / $1,340.43
Martin's Point
Facility/Professional
Professional
Modifier
54
Low / Median / High Price
$693.58 / $693.58 / $791.69
Martin's Point
Facility/Professional
Professional
Modifier
55
Low / Median / High Price
$138.72 / $138.72 / $158.34
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$656.78 / $940.05 / $1,215.58