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Maine rates for HCPCS 69602

Revj Mastoidectomy Rsltg Modf Rad Mstdc

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,049.07 / $1,049.07 / $1,250.09
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,205.81 / $1,446.06 / $2,088.78
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,309.49 / $1,551.33 / $2,401.64
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,206.81 / $1,554.27 / $2,384.33
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,049.07 / $1,049.07 / $1,250.09
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,104.47 / $1,552.97 / $2,197.69