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Maine rates for HCPCS 12036

Repair, intermediate, wounds of scalp, axillae, trunk and/or extremities (excluding hands and feet); 20.1 cm to 30.0 cm

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,250.45 / $1,250.45 / $2,896.02
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$224.42 / $344.12 / $704.95
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$299.22 / $449.76 / $663.96
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$366.46 / $556.79 / $853.76
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$352.02 / $544.14 / $907.04
Martin's Point
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,250.45 / $1,250.45 / $2,896.02
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$224.41 / $344.12 / $683.51
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$399.86 / $576.22 / $965.27