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Maine rates for HCPCS 12014

Simple Repair F/E/E/N/L/M 5.1cm-7.5 Cm

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$98.93 / $467.47 / $467.47
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$59.84 / $111.26 / $227.87
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$79.54 / $137.80 / $216.41
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$95.76 / $168.00 / $276.05
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$91.51 / $162.41 / $295.64
Martin's Point
Facility/Professional
Facility
Modifier
Low / Median / High Price
$98.93 / $195.22 / $528.95
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$59.84 / $111.26 / $195.22
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$133.77 / $183.69 / $286.48