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Maine rates for HCPCS 67229

Extensive Retinopathy 1/> Sess Preterm Infant

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$908.20 / $1,786.52 / $1,858.42
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,156.33 / $1,477.62 / $2,198.76
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$712.05 / $712.05 / $712.05
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,425.64 / $2,075.26 / $2,483.91
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,410.55 / $1,632.01 / $2,503.59
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$908.20 / $1,786.52 / $1,863.81
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,124.10 / $1,555.63 / $2,011.59