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Maine rates for HCPCS 0480T

Fractional ablative laser fenestration of burn and traumatic scars for functional improvement; each additional 100 cm2, or each additional 1% of body surface area of infants and children, or part thereof (List separately in addition to code for primary procedure)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$482.20 / $482.20 / $784.37
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$73.64 / $73.64 / $73.64
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$425.00 / $500.00 / $626.40
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$119.13 / $142.72 / $211.44
Martin's Point
Facility/Professional
Facility
Modifier
Low / Median / High Price
$482.20 / $482.20 / $482.20
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$73.64 / $73.64 / $73.64
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$75.09 / $104.69 / $185.37