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Maine rates for HCPCS 12052

Repair, intermediate, wounds of face, ears, eyelids, nose, lips and/or mucous membranes; 2.6 cm to 5.0 cm

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$383.27 / $613.73 / $773.36
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$160.69 / $244.41 / $495.75
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$217.44 / $326.33 / $478.54
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$259.05 / $398.71 / $606.74
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$248.14 / $388.29 / $653.72
Martin's Point
Facility/Professional
Facility
Modifier
Low / Median / High Price
$383.27 / $613.73 / $773.36
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$160.69 / $246.88 / $495.75
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$291.18 / $413.39 / $641.38