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Maine rates for HCPCS 67039

Vitrectomy Mchnl Pars Plna Focal Endolaser Pc

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,477.68 / $1,477.68 / $14,042.62
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,588.54 / $1,588.54 / $1,588.54
Martin's Point
Facility/Professional
Facility
Modifier
Low / Median / High Price
$14,042.62 / $14,042.62 / $14,042.62