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Maine rates for HCPCS 67903

Rpr Blepharoptosis Levator Rescj/Advmnt Internal

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$428.62 / $585.97 / $951.34
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$514.63 / $617.04 / $798.71
Anthem BCBS
Facility/Professional
Professional
Modifier
50
Low / Median / High Price
$771.95 / $925.56 / $1,198.06
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
$731.15 / $943.19 / $1,206.65
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$589.03 / $737.43 / $1,147.44
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$428.62 / $585.97 / $975.69
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$488.56 / $819.03 / $1,059.08