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Maine rates for HCPCS G0117

Glaucoma screening for high risk patients furnished by an optometrist or ophthalmologist

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$37.53 / $52.32 / $67.45
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$64.02 / $64.02 / $96.01
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$46.56 / $56.24 / $56.24
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$45.49 / $77.91 / $121.23
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$37.53 / $52.32 / $63.02
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$44.71 / $66.83 / $101.51