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Maine rates for HCPCS 0420T

Destruction of neurofibroma, extensive (cutaneous, dermal extending into subcutaneous); trunk and extremities, extensive, greater than 100 neurofibromas

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,400.00 / $2,400.00 / $2,400.00
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$221.14 / $315.55 / $412.64
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$696.62 / $834.62 / $1,236.43
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,400.00 / $2,400.00 / $2,400.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$482.62 / $671.28 / $984.38