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Maine rates for HCPCS 67400

Orbitotomy without bone flap (frontal or transconjunctival approach); for exploration, with or without biopsy

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$812.83 / $1,230.27 / $2,344.23
Aetna
Facility/Professional
Professional
Modifier
50
Low / Median / High Price
$1,230.27 / $1,230.27 / $1,230.27
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$912.01 / $1,445.44 / $1,949.84
Anthem BCBS
Facility/Professional
Professional
Modifier
50
Low / Median / High Price
$1,380.38 / $2,137.96 / $2,951.21
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$812.83 / $812.83 / $812.83
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$977.24 / $1,778.28 / $2,089.30
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,096.48 / $1,348.96 / $1,949.84
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$758.58 / $1,258.93 / $2,398.83
Martin's Point
Facility/Professional
Professional
Modifier
50
Low / Median / High Price
$1,230.27 / $1,230.27 / $1,230.27
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$933.25 / $1,288.25 / $1,905.46