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Maine rates for HCPCS V2625

Enlargement of ocular prosthesis

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$213.40 / $254.87 / $382.92
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,044.83 / $1,044.83 / $1,044.83
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$333.52 / $333.52 / $366.87
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$213.23 / $213.23 / $213.23
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$362.25 / $362.25 / $362.25
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$213.40 / $254.87 / $382.92
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$173.53 / $221.62 / $509.66