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Maine rates for HCPCS 10121

Incision and removal of foreign body, subcutaneous tissues; complicated

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,621.81 / $3,548.13 / $12,589.25
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$151.36 / $245.47 / $549.54
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$194.98 / $288.40 / $426.58
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$239.88 / $354.81 / $602.56
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$213.80 / $338.84 / $537.03
Martin's Point
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,621.81 / $3,548.13 / $12,589.25
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$151.36 / $269.15 / $660.69
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$213.80 / $331.13 / $537.03