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Maine rates for HCPCS V2020

Frames Purchases (Special Coverage Instructions Apply. See Mcm: 2130)

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$43.62 / $48.80 / $78.27
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$200.04 / $200.04 / $200.04
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$97.99 / $100.34 / $100.34
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$36.11 / $36.11 / $36.11
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$69.36 / $69.36 / $69.36
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$43.62 / $48.80 / $78.27
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$33.22 / $42.44 / $97.59