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Maine rates for HCPCS 67902

Rpr Blepharopt Frontalis Musc Autol Fascal Sling

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,110.95 / $1,110.95 / $1,154.90
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$716.69 / $927.48 / $1,369.63
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,144.71 / $1,144.71 / $1,144.71
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$891.24 / $1,304.16 / $1,560.98
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$887.88 / $1,027.28 / $1,575.90
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,110.95 / $1,110.95 / $1,110.95
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$698.05 / $1,007.21 / $1,309.38