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Maine rates for HCPCS V2626

Reduction of ocular prosthesis

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$135.38 / $137.38 / $242.93
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$563.21 / $563.21 / $563.21
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$179.78 / $179.78 / $197.76
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$114.94 / $114.94 / $114.94
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$195.27 / $195.27 / $195.27
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$135.38 / $137.38 / $242.93
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$93.54 / $119.47 / $199.11