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Maine rates for HCPCS Q2004

Bladder Calculi Irrig Sol

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$103.22 / $103.22 / $103.22
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$312.87 / $312.87 / $312.87
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$103.21 / $103.21 / $103.21
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$11.82 / $11.82 / $11.82
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$103.22 / $103.22 / $125.00
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$103.22 / $103.22 / $103.22
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$79.69 / $101.19 / $146.72