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Maine rates for HCPCS 92015

Determination Refractive State

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$15.11 / $22.36 / $43.79
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$23.68 / $24.08 / $28.96
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$19.34 / $31.26 / $41.82
Community Health Options
Facility/Professional
Professional
Modifier
Low / Median / High Price
$16.60 / $24.89 / $38.64
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$13.72 / $22.67 / $36.57
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$21.27 / $22.44 / $35.64
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$16.86 / $25.12 / $35.67