go back

Maine rates for HCPCS 12034

Repair, intermediate, wounds of scalp, axillae, trunk and/or extremities (excluding hands and feet); 7.6 cm to 12.5 cm

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$259.81 / $631.44 / $2,672.21
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$164.68 / $259.81 / $525.12
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$221.53 / $346.06 / $507.49
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$266.75 / $413.16 / $644.59
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$255.15 / $411.79 / $693.29
Martin's Point
Facility/Professional
Facility
Modifier
Low / Median / High Price
$259.81 / $450.10 / $9,323.04
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$164.68 / $259.81 / $525.12
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$283.64 / $426.13 / $693.29