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Maine rates for HCPCS 74742

Transcervical Cathj Fallopian Tube Rs&I

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$66.95 / $87.94 / $99.28
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$228.83 / $316.08 / $518.75
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$113.08 / $113.08 / $157.09
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$98.14 / $136.38 / $193.57
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$62.92 / $122.02 / $220.12
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$63.72 / $87.94 / $99.28
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$149.08 / $212.18 / $381.45