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Maine rates for HCPCS 66250

Revj/Rpr Oprative Wound Anterior Segment

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$535.34 / $891.28 / $1,265.05
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$607.58 / $713.33 / $958.55
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$712.05 / $712.05 / $712.05
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$847.39 / $1,171.93 / $1,524.72
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$680.95 / $910.96 / $1,417.45
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$525.12 / $809.50 / $1,265.05
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$719.79 / $1,031.24 / $1,372.82