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Maine rates for HCPCS 10121

Incision & Removal Foreign Body Subq Tiss Comp

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,623.09 / $1,623.09 / $12,522.18
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$148.12 / $217.54 / $430.81
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$197.74 / $288.81 / $403.86
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$240.07 / $352.76 / $539.73
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$228.77 / $330.98 / $551.72
Martin's Point
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,623.09 / $7,503.92 / $12,522.18
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$148.12 / $235.12 / $444.38
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$221.06 / $376.25 / $535.80