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Maine rates for HCPCS L8612

Aqueous Shunt (Special Coverage Instructions Apply. See Mcm: 2130)

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$376.27 / $580.00 / $580.00
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$441.74 / $465.71 / $646.52
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$451.71 / $451.71 / $632.95
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$383.95 / $383.95 / $451.71
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$697.26 / $697.26 / $697.26
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$484.89 / $580.00 / $580.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$286.42 / $548.57 / $988.00