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Maine rates for HCPCS 69726

Removal Entire Oi Implt Skl Perq Attachment Esp

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$400.28 / $400.28 / $485.66
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$476.87 / $597.41 / $902.53
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$520.84 / $654.05 / $914.93
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$531.75 / $684.85 / $1,050.59
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$400.28 / $400.28 / $485.66
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$498.07 / $663.65 / $961.23