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Maine rates for HCPCS 67570

Optic nerve decompression (eg, incision or fenestration of optic nerve sheath)

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,055.19 / $1,872.47 / $1,918.08
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,211.70 / $1,556.17 / $2,413.07
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,005.81 / $1,005.81 / $1,005.81
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,614.35 / $2,362.67 / $2,994.64
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,544.10 / $1,786.52 / $2,740.62
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$946.28 / $1,055.19 / $1,918.08
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,198.60 / $1,605.12 / $2,402.62