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Maine rates for HCPCS 96549

Unlisted Chemotherapy Procedure

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$109.65 / $109.65 / $139.33
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.33 / $0.37 / $0.48
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.37 / $0.37 / $0.37
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.36 / $0.54 / $0.87
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$226.86 / $226.86 / $226.86
Martin's Point
Facility/Professional
Facility
Modifier
Low / Median / High Price
$109.65 / $139.33 / $149.28
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.33 / $0.38 / $0.48