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Maine rates for HCPCS L8641

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

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$244.76 / $377.29 / $377.29
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$252.34 / $268.11 / $420.56
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$373.38 / $373.38 / $411.73
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$317.37 / $317.37 / $373.38
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$453.56 / $453.56 / $453.56
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$315.42 / $377.29 / $377.29
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$186.32 / $315.81 / $642.70