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Maine rates for HCPCS 67906

Rpr Blepharoptosis Superior Rectus Fascial Sling

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$777.36 / $777.36 / $811.39
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$503.84 / $648.13 / $958.07
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
$619.94 / $905.29 / $1,083.56
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$618.71 / $715.85 / $1,098.15
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$777.36 / $777.36 / $777.36
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$488.55 / $706.77 / $913.93