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Maine rates for HCPCS 65436

Removal of corneal epithelium; with application of chelating agent (eg, EDTA)

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$404.83 / $594.16 / $619.28
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$368.11 / $476.27 / $601.63
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$712.05 / $712.05 / $712.05
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$475.28 / $709.76 / $792.86
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$454.66 / $526.04 / $806.98
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$363.87 / $445.08 / $607.95
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$372.45 / $538.33 / $781.99