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Maine rates for HCPCS 12001

Simple repair of superficial wounds of scalp, neck, axillae, external genitalia, trunk and/or extremities (including hands and feet); 2.5 cm or less

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$72.20 / $262.14 / $398.93
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$35.63 / $72.20 / $147.49
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$47.21 / $84.06 / $143.26
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$49.39 / $95.57 / $180.38
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$55.23 / $98.80 / $195.70
Martin's Point
Facility/Professional
Facility
Modifier
Low / Median / High Price
$72.20 / $256.25 / $373.60
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$35.63 / $72.20 / $130.30
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$73.19 / $122.10 / $190.62