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Maine rates for HCPCS 67040

Vtrectomy Mchnl Pars Plna Endolaser Panrta Pc

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,153.21 / $1,343.71 / $1,663.76
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,034.21 / $1,323.46 / $1,967.01
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,588.54 / $1,588.54 / $1,588.54
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,453.16 / $1,854.99 / $2,220.27
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,263.39 / $1,461.74 / $2,242.39
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,111.52 / $1,343.71 / $3,447.82
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,004.34 / $1,455.34 / $1,890.99