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Maine rates for HCPCS D7260

Oroantral Fistula Closure

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$632.99 / $873.09 / $873.09
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$708.00 / $1,148.16 / $1,350.82
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$959.67 / $1,110.33 / $1,703.32
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$632.99 / $873.09 / $873.09