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Maine rates for HCPCS L8642

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

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$165.19 / $229.51 / $229.51
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$204.67 / $217.46 / $255.84
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$238.90 / $302.83 / $302.83
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$257.41 / $257.41 / $302.83
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$275.91 / $275.91 / $275.91
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$191.88 / $229.51 / $229.51
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$108.29 / $224.66 / $224.66
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$130.99 / $183.48 / $390.98