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Maine rates for HCPCS 67105

Rpr Retinal Dtchmnt Drg Subretinal Fluid Pc

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$11,641.00 / $11,641.00 / $11,641.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$421.85 / $478.20 / $622.38
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$272.85 / $352.35 / $445.94
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$531.64 / $531.64 / $531.64
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$418.37 / $525.64 / $640.33
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$336.36 / $389.17 / $597.01
Martin's Point
Facility/Professional
Facility
Modifier
Low / Median / High Price
$11,641.00 / $11,641.00 / $11,641.00
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$324.77 / $467.47 / $665.51
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$300.31 / $732.82 / $1,203.06