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Maine rates for HCPCS G0517

Removal of nonbiodegradable drug delivery implants, four or more (services for subdermal implants)

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$109.02 / $122.79 / $258.06
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$130.84 / $207.92 / $342.72
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$173.49 / $173.49 / $173.49
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$135.19 / $223.43 / $373.92
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$109.02 / $122.26 / $258.06
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$265.36 / $365.07 / $445.52