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Maine rates for HCPCS G0186

Destruction of localized lesion of choroid (for example, choroidal neovascularization); photocoagulation, feeder vessel technique (one or more sessions)

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$206.11 / $227.51 / $596.27
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$796.32 / $823.16 / $1,032.76
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$531.64 / $531.64 / $531.64
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$540.82 / $540.82 / $540.82
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$810.80 / $938.10 / $1,439.09
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$596.27 / $596.27 / $596.27
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$510.77 / $740.62 / $957.69