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Maine rates for HCPCS 12053

Repair, intermediate, wounds of face, ears, eyelids, nose, lips and/or mucous membranes; 5.1 cm to 7.5 cm

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$172.94 / $489.18 / $10,100.33
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$172.95 / $286.08 / $594.49
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$232.68 / $376.45 / $550.16
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$278.60 / $453.41 / $709.77
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$267.52 / $446.41 / $751.58
Martin's Point
Facility/Professional
Facility
Modifier
Low / Median / High Price
$421.54 / $489.18 / $10,100.33
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$172.94 / $286.08 / $619.60
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$340.28 / $472.25 / $738.87