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Maine rates for HCPCS 87210

Smr Prim Src Wet Mount Nfct Agt

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5.82 / $45.90 / $71.73
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.71 / $5.11 / $8.73
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5.63 / $7.77 / $44.57
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.49 / $3.49 / $4.93
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5.07 / $5.97 / $9.77
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.81 / $6.22 / $8.26
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.82 / $5.82 / $7.05
Martin's Point
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5.82 / $31.75 / $73.67
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.71 / $5.73 / $8.61
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.82 / $5.82 / $8.44