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Maine rates for HCPCS 67110

Rpr Retinal Dtchmnt Injection Air/Other Gas

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$663.26 / $1,248.14 / $1,404.02
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$806.71 / $1,040.20 / $1,318.46
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$712.05 / $712.05 / $712.05
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,094.51 / $1,551.55 / $1,782.17
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$992.99 / $1,148.89 / $1,762.46
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$663.26 / $866.96 / $1,429.63
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$892.45 / $1,088.06 / $1,762.46