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Maine rates for RC 0174

Newborn-Level Iv

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,920.00 / $4,200.00 / $5,500.00
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8,584.00 / $8,584.00 / $8,584.00
Martin's Point
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,400.00 / $4,200.00 / $5,500.00
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,169.00 / $1,169.00 / $1,371.00