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Maine rates for HCPCS 68325

Conjunctivoplasty; with buccal mucous membrane graft (includes obtaining graft)

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,007.44 / $1,007.44 / $1,052.88
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$652.13 / $841.57 / $1,239.01
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
$802.87 / $1,174.67 / $1,405.99
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$803.38 / $929.51 / $1,425.92
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,007.44 / $1,007.44 / $1,007.44
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$631.91 / $916.79 / $1,193.54