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Maine rates for HCPCS A2004

Misc W/Motor Score 12-32

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$12.79 / $13.26 / $13.26
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.46 / $12.48 / $14.24
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$13.26 / $13.26 / $13.26
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$13.26 / $13.26 / $13.26
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$13.26 / $13.26 / $13.26
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$13.00 / $13.00 / $18.85