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Maine rates for HCPCS 67113

Rpr Complex Retina Detach Vitrect &Membrane Peel

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,412.82 / $1,642.35 / $2,135.56
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,328.00 / $1,695.68 / $2,528.17
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$712.05 / $712.05 / $712.05
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,695.43 / $2,380.90 / $2,849.75
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,618.71 / $1,872.85 / $2,873.05
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,361.75 / $1,624.75 / $2,459.32
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,292.00 / $1,964.95 / $3,616.82