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Maine rates for HCPCS 12013

Simple Repair F/E/E/N/L/M 2.6cm-5.0 Cm

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$76.98 / $393.87 / $462.11
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$46.73 / $91.59 / $188.47
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$61.70 / $110.00 / $178.31
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$74.55 / $139.93 / $227.22
Community Health Options
Facility/Professional
Facility
Modifier
Low / Median / High Price
$290.63 / $290.63 / $290.63
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$71.31 / $126.57 / $243.58
Martin's Point
Facility/Professional
Facility
Modifier
Low / Median / High Price
$76.98 / $302.29 / $461.40
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$46.72 / $91.59 / $161.41
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$109.85 / $156.69 / $235.11