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Maine rates for HCPCS E1355

Stand/Rack (Special Coverage Instructions Apply. See Cim: 60-4)

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$11.21 / $17.85 / $17.88
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$26.52 / $34.36 / $63.70
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$14.40 / $14.65 / $14.65
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$18.96 / $18.96 / $18.96
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$16.12 / $16.12 / $21.07
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$24.31 / $24.31 / $24.31
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9.55 / $12.53 / $17.85
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9.92 / $14.87 / $34.21