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Maine rates for HCPCS 11971

Removal of tissue expander without insertion of implant

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$387.35 / $891.41 / $2,038.24
Martin's Point
Facility/Professional
Facility
Modifier
Low / Median / High Price
$891.41 / $891.41 / $2,038.24