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Maine rates for HCPCS 99495

Transj Care Mgmt Mod Mdm F2f 14 Cal D Discharge

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$107.93 / $124.73 / $162.06
Aetna
Facility/Professional
Facility
Modifier
25
Low / Median / High Price
$370.34 / $370.34 / $370.34
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$107.94 / $148.02 / $215.75
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$135.72 / $204.04 / $298.50
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$136.03 / $226.35 / $359.77
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$145.40 / $209.96 / $314.69
Martin's Point
Facility/Professional
Facility
Modifier
Low / Median / High Price
$124.73 / $125.93 / $186.85
Martin's Point
Facility/Professional
Facility
Modifier
25
Low / Median / High Price
$370.34 / $370.34 / $370.34
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$107.93 / $162.06 / $279.19
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$164.35 / $227.30 / $293.93