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Maine rates for HCPCS L8613

Ossicula implant

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$794.33 / $891.25 / $6,025.60
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$158.49 / $204.17 / $575.44
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$186.21 / $186.21 / $257.04
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$263.03 / $275.42 / $275.42
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$234.42 / $234.42 / $275.42
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$331.13 / $331.13 / $389.05
Martin's Point
Facility/Professional
Facility
Modifier
Low / Median / High Price
$794.33 / $891.25 / $6,025.60
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$162.18 / $251.19 / $575.44
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$97.72 / $177.83 / $204.17
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$125.89 / $234.42 / $354.81