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Maine rates for HCPCS G0268

Removal of impacted cerumen (one or both ears) by physician on same date of service as audiologic function testing

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$27.03 / $43.54 / $60.85
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$33.90 / $53.29 / $78.51
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$46.42 / $46.42 / $46.42
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$40.40 / $64.30 / $100.05
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.91 / $47.02 / $82.44
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$52.33 / $73.75 / $105.22