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Maine rates for HCPCS 67115

Release Encircling Material Posterior Segment

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$765.74 / $765.74 / $800.55
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$495.12 / $640.35 / $944.25
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$712.05 / $712.05 / $712.05
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$609.88 / $894.14 / $1,070.21
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$611.29 / $707.26 / $1,084.98
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$765.74 / $765.74 / $765.74
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$478.78 / $693.94 / $951.17