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Maine rates for HCPCS 66991

Extracapsular cataract removal with insertion of intraocular lens prosthesis (1 stage procedure), manual or mechanical technique (eg, irrigation and aspiration or phacoemulsification); with insertion of intraocular (eg, trabecular meshwork, supraciliary, suprachoroidal) anterior segment aqueous drainage device, without extraocular reservoir, internal approach, one or more

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,700.01 / $3,700.01 / $3,700.01
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$584.94 / $1,024.88 / $1,090.59
Aetna
Facility/Professional
Professional
Modifier
55
Low / Median / High Price
$153.72 / $153.72 / $160.08
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$689.12 / $876.55 / $1,289.51
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$712.05 / $712.05 / $712.05
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$907.75 / $1,225.13 / $1,466.38
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$836.77 / $968.14 / $1,485.18
Martin's Point
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,700.01 / $3,700.01 / $3,700.01
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$609.66 / $950.00 / $3,702.08
Martin's Point
Facility/Professional
Professional
Modifier
55
Low / Median / High Price
$153.72 / $153.72 / $153.72
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$672.49 / $970.82 / $1,260.64