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Maine rates for HCPCS V2626

Reduction of ocular prosthesis

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$125.89 / $177.83 / $263.03
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$575.44 / $575.44 / $575.44
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$199.53 / $199.53 / $218.78
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$91.20 / $114.82 / $114.82
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$208.93 / $208.93 / $208.93
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$95.50 / $158.49 / $263.03
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$79.43 / $120.23 / $208.93