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Maine rates for HCPCS 13101

Repair, complex, trunk; 2.6 cm to 7.5 cm

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$199.97 / $199.97 / $321.97
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$199.98 / $321.97 / $646.69
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$270.23 / $423.37 / $598.92
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$323.63 / $498.59 / $798.81
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$305.02 / $485.98 / $818.20
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$199.97 / $328.53 / $673.57
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$382.59 / $541.41 / $903.13