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Maine rates for HCPCS 11624

Excision, malignant lesion including margins, scalp, neck, hands, feet, genitalia; excised diameter 3.1 to 4.0 cm

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,754.18 / $4,754.18 / $4,754.18
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$190.72 / $270.70 / $442.20
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$257.22 / $359.43 / $514.10
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$237.44 / $417.43 / $671.63
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$294.72 / $421.32 / $702.31
Martin's Point
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,754.18 / $4,754.18 / $4,754.18
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$190.72 / $286.91 / $611.79
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$324.27 / $465.29 / $681.99