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Maine rates for HCPCS 11042

Debridement, subcutaneous tissue (includes epidermis and dermis, if performed); first 20 sq cm or less

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$95.50 / $537.03 / $977.24
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$48.98 / $97.72 / $186.21
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$66.07 / $114.82 / $194.98
Anthem BCBS
Facility/Professional
Professional
Modifier
50
Low / Median / High Price
$100.00 / $173.78 / $295.12
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$69.18 / $138.04 / $281.84
Community Health Options
Facility/Professional
Facility
Modifier
Low / Median / High Price
$602.56 / $602.56 / $602.56
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$69.18 / $141.25 / $251.19
Martin's Point
Facility/Professional
Facility
Modifier
Low / Median / High Price
$69.18 / $501.19 / $977.24
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$48.98 / $100.00 / $229.09
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$69.18 / $120.23 / $218.78