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Maine rates for HCPCS 67101

Rpr Retinal Dtchmnt Drg Subretinal Fluid Crtx

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$437.04 / $543.19 / $683.64
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$282.63 / $365.30 / $461.92
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$432.22 / $555.54 / $725.15
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$348.72 / $413.83 / $637.54
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$362.12 / $543.19 / $735.17
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$335.98 / $793.45 / $1,308.77