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Maine rates for HCPCS 67400

Orbitotomy W/O Bone Flap Expl W/Wo Biopsy

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$765.90 / $982.09 / $1,664.56
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$987.54 / $1,209.70 / $1,967.35
Anthem BCBS
Facility/Professional
Professional
Modifier
50
Low / Median / High Price
$1,481.31 / $1,814.55 / $2,951.02
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$814.23 / $814.23 / $814.23
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,258.29 / $1,889.85 / $2,280.77
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,258.45 / $1,456.03 / $2,233.62
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$765.90 / $982.09 / $1,664.56
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$837.15 / $1,283.88 / $1,667.34