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Maine rates for HCPCS 12005

Smpl Rpr Scalp/Neck/Ax/Genit/Trunk 12.6-20.0cm

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$184.43 / $491.26 / $620.16
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$76.18 / $135.60 / $283.56
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$100.73 / $170.84 / $269.75
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$121.82 / $201.17 / $337.30
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$116.24 / $206.31 / $368.51
Martin's Point
Facility/Professional
Facility
Modifier
Low / Median / High Price
$184.43 / $369.67 / $620.16
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$76.18 / $135.59 / $278.31
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$138.76 / $229.85 / $355.69