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Maine rates for HCPCS L8600

Implantable breast prosthesis, silicone or equal

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,581.10 / $25,254.35 / $25,254.35
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$354.39 / $509.18 / $509.18
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$453.66 / $478.28 / $567.57
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$529.99 / $666.06 / $666.06
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$566.15 / $666.06 / $666.06
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$612.12 / $612.12 / $612.12
Martin's Point
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,581.10 / $3,581.10 / $25,254.35
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$425.68 / $509.18 / $509.18
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$288.08 / $563.37 / $867.36