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Maine rates for HCPCS G0429

Dermal filler injection(s) for the treatment of facial lipodystrophy syndrome (LDS) (e.g., as a result of highly active antiretroviral therapy)

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$62.57 / $76.15 / $91.48
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$68.52 / $98.97 / $152.40
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$89.28 / $89.28 / $89.28
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$84.09 / $124.90 / $208.19
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$62.57 / $65.25 / $91.48
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$97.29 / $140.28 / $201.12