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Maine rates for HCPCS 66155

Fstlj Sclera Glaucoma Thermocaut Irridec

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,347.22 / $1,347.22 / $1,402.24
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$869.52 / $1,122.68 / $1,660.86
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,005.81 / $1,005.81 / $1,005.81
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,074.74 / $1,578.45 / $1,889.27
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,071.72 / $1,239.98 / $1,902.20
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,347.22 / $1,347.22 / $1,347.22
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$737.68 / $1,215.22 / $1,571.40