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Maine rates for HCPCS L8613

Ossicula Implant (Special Coverage Instructions Apply. See Mcm: 2130)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$732.39 / $790.97 / $6,014.19
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$170.82 / $252.57 / $252.57
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$186.42 / $196.94 / $281.52
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$262.89 / $274.27 / $275.61
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$233.13 / $233.13 / $274.27
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$303.63 / $303.63 / $303.63
Martin's Point
Facility/Professional
Facility
Modifier
Low / Median / High Price
$732.39 / $790.97 / $6,014.19
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$211.14 / $252.57 / $252.57
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$124.72 / $231.98 / $430.23