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Maine rates for HCPCS 92575

Sensorineural Acuity Level

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$31.06 / $68.28 / $77.06
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$71.63 / $71.63 / $112.78
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$55.05 / $89.32 / $154.29
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$69.55 / $91.51 / $121.82
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$31.06 / $68.28 / $77.06
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$56.35 / $73.29 / $142.38