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Maine rates for HCPCS 12021

Tx Superficial Wound Dehiscence W/Packing

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$111.34 / $136.76 / $251.62
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$147.94 / $182.72 / $270.23
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$180.12 / $259.68 / $339.31
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$175.19 / $220.65 / $367.82
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$111.34 / $156.75 / $293.63
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$164.19 / $229.55 / $383.63