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Maine rates for HCPCS 68371

Harvesting conjunctival allograft, living donor

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$633.79 / $633.79 / $661.30
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$409.64 / $528.95 / $780.20
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$712.05 / $712.05 / $712.05
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$505.25 / $741.03 / $886.95
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$504.95 / $584.23 / $896.24
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$633.79 / $633.79 / $633.79
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,665.92 / $4,665.92 / $4,665.92
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$396.38 / $573.98 / $750.28