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Maine rates for HCPCS E1353

Regulator (Special Coverage Instructions Apply. See Cim: 60-4 And Mcm: 4107.9)

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$14.87 / $23.69 / $23.73
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$35.19 / $45.60 / $84.52
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$19.45 / $19.45 / $19.64
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$25.17 / $25.17 / $25.17
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$21.39 / $21.39 / $27.97
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.27 / $32.27 / $32.27
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$12.54 / $17.29 / $28.28
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$13.16 / $19.73 / $45.40