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Maine rates for HCPCS A0428

Bls

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$250.63 / $250.63 / $250.63
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$250.63 / $250.64 / $447.57
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$118.80 / $125.40 / $408.35
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$541.00 / $541.00 / $541.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$198.51 / $462.76 / $522.78
Martin's Point
Facility/Professional
Facility
Modifier
Low / Median / High Price
$250.63 / $250.63 / $250.63
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$206.06 / $327.00 / $579.51
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$199.54 / $223.09 / $573.90