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Maine rates for HCPCS 68770

Closure of lacrimal fistula (separate procedure)

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$963.69 / $963.69 / $1,006.46
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$623.87 / $804.87 / $1,184.93
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
$768.80 / $1,124.26 / $1,345.65
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$768.34 / $888.97 / $1,363.73
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$963.69 / $963.69 / $963.69
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$604.62 / $875.51 / $1,132.13