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Maine rates for HCPCS D0170

Re-Evaluation - Limited Problem Focused

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$33.79 / $33.79 / $33.79
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$17.47 / $33.79 / $33.79
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$26.95 / $38.51 / $45.04
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$33.97 / $39.29 / $70.75
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$19.47 / $33.79 / $33.79
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$53.00 / $61.00 / $67.00