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Maine rates for HCPCS D9212

Trigeminal Division Block Anesthesia

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$50.94 / $60.68 / $60.68
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.00 / $47.61 / $56.50
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$39.97 / $46.26 / $70.95
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$36.22 / $60.68 / $60.68