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Maine rates for HCPCS V2627

Scleral cover shell

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$775.13 / $887.29 / $1,390.80
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,637.49 / $3,637.49 / $3,637.49
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,100.00 / $2,100.00 / $2,310.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$742.34 / $742.34 / $742.34
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,261.14 / $1,261.14 / $1,261.14
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$775.13 / $887.29 / $1,390.80
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$514.37 / $771.56 / $1,774.34