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Maine rates for HCPCS 11042

Debridement Subcutaneous Tissue 1st 20 Sq Cm/<

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$48.77 / $640.50 / $964.79
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$42.32 / $82.23 / $203.05
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$65.42 / $115.08 / $196.60
Anthem BCBS
Facility/Professional
Professional
Modifier
50
Low / Median / High Price
$98.13 / $172.63 / $294.89
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$66.76 / $121.00 / $249.99
Community Health Options
Facility/Professional
Facility
Modifier
Low / Median / High Price
$603.00 / $603.00 / $603.00
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$75.02 / $135.59 / $268.57
Martin's Point
Facility/Professional
Facility
Modifier
Low / Median / High Price
$72.13 / $540.75 / $4,443.22
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$48.77 / $94.38 / $180.39
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$90.40 / $159.86 / $264.06