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Maine rates for HCPCS 69915

Vestibular Nrv Section Translabyrinthine Appr

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,462.89 / $1,462.89 / $1,763.28
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,699.05 / $1,988.38 / $2,872.17
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,843.95 / $2,142.55 / $3,279.12
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,667.46 / $2,147.55 / $3,294.46
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,462.89 / $1,462.89 / $1,763.28
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,543.48 / $2,171.58 / $3,005.08