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Maine rates for HCPCS 01130

Anesthesia for body cast application or revision

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.20 / $44.67 / $407.38
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$162.18 / $251.19 / $363.08
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$131.83 / $181.97 / $426.58
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$45.71 / $60.26 / $75.86
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$34.67 / $281.84 / $416.87
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$46.77 / $60.26 / $81.28