go back

Maine rates for HCPCS C1765

Adhesion Barrier

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$681.54 / $681.54 / $681.54
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.46 / $334.33 / $334.33
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$903.51 / $903.51 / $1,807.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$217.98 / $217.98 / $217.98
Martin's Point
Facility/Professional
Facility
Modifier
Low / Median / High Price
$681.54 / $681.54 / $681.54
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$51.99 / $334.33 / $767.94