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Maine rates for HCPCS 67875

Temporary Closure Eyelids Suture

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,375.64 / $1,375.64 / $1,375.64
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$85.00 / $155.86 / $276.75
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$105.55 / $124.17 / $184.56
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$531.64 / $531.64 / $531.64
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$144.50 / $203.80 / $369.00
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$117.89 / $209.24 / $343.14
Martin's Point
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,375.64 / $1,375.64 / $1,375.64
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$92.08 / $154.94 / $311.89
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$161.96 / $234.84 / $318.35