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Maine rates for HCPCS 69717

Rplcmt Oi Implt Skull Perq Attachment Esp

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,071.47 / $1,071.47 / $1,305.21
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$729.74 / $805.63 / $1,075.23
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$819.17 / $1,074.33 / $1,674.17
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$625.80 / $805.99 / $1,236.43
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,071.47 / $1,071.47 / $1,305.21
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,083.94 / $1,483.58 / $1,923.16