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Maine rates for HCPCS 66987

Xcapsl Ctrc Rmvl Insj Io Lens Prosth Cplx W/Ecp

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$666.74 / $1,048.59 / $1,200.38
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$787.17 / $926.09 / $1,286.52
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$712.05 / $712.05 / $712.05
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,258.60 / $1,483.07 / $1,775.12
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,102.64 / $1,275.75 / $1,957.08
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$630.51 / $666.74 / $1,131.47
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$834.96 / $1,255.41 / $1,623.38