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Maine rates for HCPCS 65820

Goniotomy

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,605.78 / $5,605.78 / $7,283.30
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$599.08 / $1,077.18 / $1,371.62
Aetna
Facility/Professional
Professional
Modifier
55
Low / Median / High Price
$179.70 / $181.18 / $181.18
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$786.02 / $972.64 / $1,560.40
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$531.64 / $531.64 / $531.64
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$997.58 / $1,505.30 / $1,801.72
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,001.65 / $1,158.91 / $1,777.83
Martin's Point
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,605.78 / $5,605.78 / $7,283.30
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$599.08 / $974.61 / $1,528.89
Martin's Point
Facility/Professional
Professional
Modifier
55
Low / Median / High Price
$181.18 / $181.18 / $181.18
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$752.60 / $1,039.00 / $1,377.39