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Maine rates for HCPCS 65785

Implantation Intrastromal Corneal Ring Segments

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$621.91 / $736.55 / $3,699.19
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$482.84 / $571.26 / $853.76
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$712.05 / $712.05 / $712.05
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$679.65 / $2,790.08 / $4,924.17
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$545.34 / $967.92 / $3,898.96
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$428.75 / $736.55 / $3,699.19
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$564.42 / $2,865.69 / $3,705.64