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Maine rates for HCPCS 13102

Repair Complex Trunk Each Additional 5 Cm/<

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$58.17 / $96.17 / $4,257.96
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$58.17 / $96.17 / $154.31
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$79.54 / $124.14 / $176.28
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$93.36 / $147.11 / $238.59
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$88.21 / $143.03 / $240.81
Martin's Point
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,257.96 / $4,257.96 / $4,257.96
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$58.17 / $96.17 / $154.31
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$102.66 / $166.55 / $233.99