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Maine rates for HCPCS 11404

Excision, benign lesion including margins, except skin tag (unless listed elsewhere), trunk, arms or legs; excised diameter 3.1 to 4.0 cm

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$129.59 / $648.52 / $3,356.50
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$129.60 / $177.60 / $354.91
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$173.58 / $233.06 / $343.92
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$177.77 / $277.47 / $440.62
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$207.34 / $281.85 / $469.83
Martin's Point
Facility/Professional
Facility
Modifier
Low / Median / High Price
$482.13 / $1,816.93 / $5,544.93
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$129.59 / $194.93 / $354.91
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$211.92 / $297.45 / $455.06