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Maine rates for HCPCS 12057

Repair, intermediate, wounds of face, ears, eyelids, nose, lips and/or mucous membranes; over 30.0 cm

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$338.84 / $501.19 / $1,000.00
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$467.74 / $645.65 / $977.24
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$549.54 / $812.83 / $1,348.96
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$478.63 / $794.33 / $1,258.93
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$338.84 / $645.65 / $1,479.11
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$478.63 / $724.44 / $1,230.27